Displaying 206591-206600 of 1611142 results.
ID:
206591
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
308212
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206592
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
403810
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206593
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
403811
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206594
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1806195
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206595
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1806179
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206596
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1806183
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206597
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
308191
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206598
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
199119
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
206599
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
864110
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206600
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
854302
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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