Displaying 206821-206830 of 1611142 results.
ID:
206821
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
310346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206822
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
721791
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
206823
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
721794
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
206824
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
721796
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
206825
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
895670
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
206826
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197319
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206827
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197320
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206828
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197527
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
206829
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197528
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
206830
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197529
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
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