Displaying 210641-210650 of 1611142 results.
ID:
210641
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
151030
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210642
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
977990
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210643
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
977978
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210644
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
309289
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
28
ID:
210645
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
309291
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210646
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1235049
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210647
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
705129
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210648
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1597120
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
37
Qty Limit Days:
30
ID:
210649
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1597126
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
210650
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
310982
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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