Displaying 213101-213110 of 1611142 results.
ID:
213101
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1801299
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213102
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
832731
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213103
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1801295
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213104
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2123111
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
30
ID:
213105
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
198071
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213106
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
197541
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213107
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
753478
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213108
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
753479
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213109
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1428933
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213110
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091828
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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