Displaying 211821-211830 of 1611142 results.
ID:
211821
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
313134
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211822
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
562508
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211823
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
849398
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211824
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
849431
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211825
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
861783
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
211826
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
617430
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211827
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
199884
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211828
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
311296
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211829
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
200285
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211830
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
349353
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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