Displaying 211511-211520 of 1611142 results.
ID:
211511
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
616148
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211512
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
639888
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211513
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1744003
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211514
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1744007
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211515
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1744011
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211516
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
901614
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
211517
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1147337
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211518
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1306298
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211519
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1544471
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
211520
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1544475
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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