Displaying 212781-212790 of 1611142 results.
ID:
212781
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1923054
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212782
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1923056
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212783
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1923058
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212784
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2002719
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
212785
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2058981
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212786
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2390954
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
212787
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1298099
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212788
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
545293
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212789
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
207029
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212790
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
665022
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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