Displaying 211111-211120 of 1611142 results.
ID:
211111
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
312835
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211112
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
314215
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211113
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
312836
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211114
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
311277
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211115
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1099563
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211116
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
904932
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
211117
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
313758
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211118
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
199655
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211119
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
349208
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211120
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
360110
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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