Displaying 206361-206370 of 1611142 results.
ID:
206361
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
800192
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206362
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665021
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206363
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
309090
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206364
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
309092
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206365
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665005
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206366
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
311683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206367
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
727575
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206368
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1040012
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206369
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1040016
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206370
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1653470
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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