Displaying 213391-213400 of 1611142 results.
ID:
213391
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1805422
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213392
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1602594
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213393
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1858971
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213394
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
751620
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213395
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
751623
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213396
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
751616
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213397
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
827075
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213398
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
833151
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
55
Qty Limit Days:
30
ID:
213399
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
833139
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
213400
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
833143
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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