Displaying 211921-211930 of 1611142 results.
ID:
211921
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
861356
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211922
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1737244
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211923
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1737581
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211924
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
540617
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211925
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
404419
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211926
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
213337
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211927
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
106351
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211928
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
308136
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211929
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197361
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211930
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
310432
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
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