Displaying 213521-213530 of 1611142 results.
ID:
213521
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
310812
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213522
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
861427
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213523
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
991086
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213524
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
314006
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
213525
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
315107
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
213526
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
310489
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
213527
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1375948
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213528
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
250344
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
28
ID:
213529
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1596781
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
213530
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
722122
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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