Displaying 211151-211160 of 1611142 results.
ID:
211151
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
966188
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211152
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
966410
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211153
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
966197
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211154
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
966399
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211155
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
966208
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211156
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
966214
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211157
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1492746
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
211158
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1605455
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
55
Qty Limit Days:
28
ID:
211159
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
993456
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
180
ID:
211160
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1046402
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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