Displaying 213751-213760 of 1611142 results.
ID:
213751
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
314111
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213752
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
858798
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
30
ID:
213753
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
197738
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213754
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
311725
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213755
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
311726
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213756
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
993770
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
213757
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
993890
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
213758
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
864718
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
213759
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
977939
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
213760
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
977942
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
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