Displaying 206041-206050 of 1611142 results.
ID:
206041
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
213484
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206042
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
759473
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206043
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
896185
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
206044
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
896212
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
206045
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
896229
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
206046
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1539885
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
206047
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
249066
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206048
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
207840
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206049
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
2178081
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206050
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
2178077
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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