Displaying 211491-211500 of 1611142 results.
ID:
211491
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1946772
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211492
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
198181
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211493
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
251322
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211494
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1242611
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211495
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1242613
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211496
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1663728
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211497
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1242615
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211498
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
763457
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211499
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1653792
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
211500
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1719766
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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