Displaying 212961-212970 of 1611142 results.
ID:
212961
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
856940
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
5550
Qty Limit Days:
30
ID:
212962
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
834137
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212963
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
810002
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212964
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
809990
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212965
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
809994
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212966
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
809998
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212967
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
995156
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212968
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
308963
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212969
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
317173
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212970
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
308964
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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