Displaying 206181-206190 of 1611142 results.
ID:
206181
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
800405
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206182
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
801405
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206183
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
800438
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206184
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
800444
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206185
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
866924
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206186
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197465
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
206187
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197466
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
206188
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197505
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206189
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
198286
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206190
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1298857
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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