Displaying 213931-213940 of 1611142 results.
ID:
213931
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
309683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213932
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1012021
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213933
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
849506
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213934
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797863
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
30
ID:
213935
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
213262
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213936
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1099503
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213937
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
850309
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213938
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
310015
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213939
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1312627
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213940
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1150836
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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