Displaying 205661-205670 of 1611142 results.
ID:
205661
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197893
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205662
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
313932
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205663
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
309843
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
205664
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1190568
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205665
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797907
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
30
ID:
205666
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197730
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205667
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197731
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205668
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
756059
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205669
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
311376
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
205670
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
864761
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
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