Displaying 211901-211910 of 1611142 results.
ID:
211901
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
861223
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211902
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
861225
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211903
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
861227
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211904
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
861232
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211905
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1367436
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211906
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
647237
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
211907
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
647239
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
211908
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
198313
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211909
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
198312
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211910
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
833461
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
400
Qty Limit Days:
30
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