Displaying 212231-212240 of 1611142 results.
ID:
212231
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
198007
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212232
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
198008
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212233
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
200311
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212234
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
310431
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
212235
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
702306
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212236
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1731020
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212237
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
751563
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212238
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
753451
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212239
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
751139
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212240
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
728113
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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