Displaying 212771-212780 of 1611142 results.
ID:
212771
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2169322
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212772
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2362240
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212773
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2169320
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212774
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2362244
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212775
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1365866
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212776
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1656351
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
212777
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1873991
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212778
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1873993
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212779
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1873995
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212780
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1421456
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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