Displaying 206341-206350 of 1611142 results.
ID:
206341
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
245134
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
206342
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
245135
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
206343
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197696
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
206344
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1870650
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206345
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
829762
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206346
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1191234
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206347
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1724338
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
206348
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658637
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206349
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
307718
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206350
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
307719
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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