Displaying 213411-213420 of 1611142 results.
ID:
213411
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1307309
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
213412
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1608333
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213413
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2052609
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213414
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2052704
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213415
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2105817
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213416
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1300797
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213417
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1300803
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213418
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
967388
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213419
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
307730
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213420
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
106302
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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