Displaying 2111-2120 of 1611142 results.
ID:
2111
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
197499
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
2112
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
197500
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
2113
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1662285
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
2114
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
984082
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
2115
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1551923
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
2116
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1601373
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
2117
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1654079
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
2118
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
853354
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
2119
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
853356
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
2120
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
848164
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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