Displaying 211421-211430 of 1611142 results.
ID:
211421
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
686379
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211422
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
855818
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211423
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
855812
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211424
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665050
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211425
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665093
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211426
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665088
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211427
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665046
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211428
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
310467
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
211429
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
992395
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211430
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
607295
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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