Displaying 211741-211750 of 1611142 results.
ID:
211741
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
857328
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211742
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
857340
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211743
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
259081
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211744
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
835603
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
211745
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
283536
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211746
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
199387
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211747
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
312085
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211748
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
308429
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211749
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
283523
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2160
Qty Limit Days:
30
ID:
211750
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
198358
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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