Displaying 211861-211870 of 1611142 results.
ID:
211861
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1800499
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211862
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
992150
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211863
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
724863
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
211864
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
724859
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
211865
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
724861
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
211866
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
403818
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211867
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
730869
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211868
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
897021
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
211869
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
2052064
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211870
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
861375
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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