Displaying 213501-213510 of 1611142 results.
ID:
213501
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
977880
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213502
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2047882
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213503
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
310190
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213504
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
310191
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213505
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
261178
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213506
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
313941
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
45
Qty Limit Days:
28
ID:
213507
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
198300
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213508
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
106303
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213509
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
313450
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213510
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
313451
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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