Displaying 212141-212150 of 1611142 results.
ID:
212141
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
897844
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212142
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
855480
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212143
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
855474
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212144
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
749860
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212145
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
198373
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
212146
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
897853
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212147
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
859033
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212148
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
859040
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212149
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
859052
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212150
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
855642
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
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