Displaying 211811-211820 of 1611142 results.
ID:
211811
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
857166
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211812
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
857174
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211813
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
904431
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
211814
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
312087
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211815
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
198334
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211816
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
198335
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211817
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
979468
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211818
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
979464
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211819
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
979471
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211820
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
198188
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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