Displaying 205801-205810 of 1611142 results.
ID:
205801
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1245003
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205802
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
825425
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205803
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
825429
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205804
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
884619
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205805
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
2121061
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
205806
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1656356
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
205807
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1859501
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205808
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1919094
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205809
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
2169314
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205810
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
2169322
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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