Displaying 211561-211570 of 1611142 results.
ID:
211561
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
349401
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211562
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
349405
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211563
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
205322
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211564
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
205323
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211565
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
403853
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211566
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
403854
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211567
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
403855
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211568
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
859981
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
211569
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
859975
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
211570
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
283316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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