Displaying 206131-206140 of 1611142 results.
ID:
206131
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
2387331
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
206132
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
858044
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
206133
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
858040
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
206134
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1043567
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
206135
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1043582
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
206136
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1043574
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
206137
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1486981
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
206138
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1486977
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
206139
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1940498
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
206140
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1593831
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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