Displaying 212121-212130 of 1611142 results.
ID:
212121
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
403967
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212122
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1358776
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212123
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
309367
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
45
Qty Limit Days:
28
ID:
212124
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
198014
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212125
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
311753
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212126
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1299897
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212127
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197891
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212128
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197892
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212129
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
151029
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212130
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
311265
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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