Displaying 206261-206270 of 1611142 results.
ID:
206261
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
402109
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206262
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
834235
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206263
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
834241
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206264
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
359144
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206265
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
359145
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206266
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000076
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206267
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1606347
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206268
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1606349
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206269
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
242892
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
206270
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1149632
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
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