Displaying 211951-211960 of 1611142 results.
ID:
211951
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
892582
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
211952
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
892672
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
211953
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1923822
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211954
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1923828
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211955
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1923826
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211956
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1490026
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211957
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1490034
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211958
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1490038
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211959
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
313580
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
211960
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1996246
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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