Displaying 211841-211850 of 1611142 results.
ID:
211841
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
898356
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211842
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
898359
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211843
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
898342
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211844
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
898346
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211845
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
562266
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211846
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
863669
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211847
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
313581
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
211848
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
402246
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211849
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
402247
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211850
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
664741
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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