Displaying 206771-206780 of 1611142 results.
ID:
206771
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
808753
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
206772
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
808744
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
206773
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
808748
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
206774
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
861601
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206775
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
861597
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
206776
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
615882
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206777
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
643070
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206778
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
212438
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206779
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
212437
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206780
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
284496
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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