Displaying 211731-211740 of 1611142 results.
ID:
211731
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
198012
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211732
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797113
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211733
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
2399904
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
211734
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1098141
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211735
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1098134
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211736
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
577033
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
211737
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
995624
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211738
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
2266506
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211739
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
857336
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211740
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
857321
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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