Displaying 210951-210960 of 1611142 results.
ID:
210951
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
238920
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210952
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
349351
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210953
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
204135
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210954
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
861487
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
210955
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1992281
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
28
ID:
210956
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
203088
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
210957
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
313227
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210958
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
857366
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
85
Qty Limit Days:
28
ID:
210959
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
313226
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210960
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
308715
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
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