Displaying 212831-212840 of 1611142 results.
ID:
212831
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
866018
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212832
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
603103
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212833
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
106346
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
44
Qty Limit Days:
30
ID:
212834
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1098649
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212835
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1098670
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212836
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1098674
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212837
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1923422
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212838
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1923426
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212839
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1923424
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212840
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
904589
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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