Displaying 212551-212560 of 1611142 results.
ID:
212551
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
153580
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212552
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2268231
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
30
ID:
212553
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2268227
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
30
ID:
212554
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
402092
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
212555
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
861637
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212556
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
861206
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212557
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
904170
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212558
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1859000
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
212559
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1604544
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212560
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2002420
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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