Displaying 206541-206550 of 1611142 results.
ID:
206541
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1190225
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
30
ID:
206542
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
580261
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
90
ID:
206543
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
836368
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
25
Qty Limit Days:
30
ID:
206544
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1552004
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
206545
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1430453
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
206546
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1430457
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
206547
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1430449
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
206548
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1592748
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
206549
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1592752
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
206550
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1651275
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
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