Displaying 211791-211800 of 1611142 results.
ID:
211791
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
313161
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
211792
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
313160
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
211793
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
854873
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
211794
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
310796
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211795
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
310797
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211796
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
310809
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211797
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
198052
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211798
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
312086
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211799
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
310384
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
211800
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
310385
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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