Displaying 212001-212010 of 1611142 results.
ID:
212001
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
200345
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
212002
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197903
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
212003
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197904
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
212004
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197905
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
212005
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
311353
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212006
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
311354
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212007
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197884
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212008
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197885
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212009
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197886
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212010
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197887
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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