Displaying 212311-212320 of 1611142 results.
ID:
212311
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1607792
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212312
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
577348
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
212313
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1673373
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212314
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
349287
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212315
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1011712
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212316
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1011715
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212317
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1011752
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212318
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1011755
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212319
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
313362
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212320
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
313364
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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