Displaying 212801-212810 of 1611142 results.
ID:
212801
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
207035
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212802
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1246313
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
30
ID:
212803
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1246310
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
30
ID:
212804
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
261101
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212805
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
847232
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212806
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
285018
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212807
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
803194
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212808
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
847261
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212809
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
855178
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212810
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
866094
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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