Displaying 213381-213390 of 1611142 results.
ID:
213381
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1040016
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213382
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1653470
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
213383
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1086776
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
213384
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1086780
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
213385
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1086786
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
213386
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1307415
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
213387
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1307421
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
213388
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1869699
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
213389
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1805427
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213390
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1602588
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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