Displaying 206891-206900 of 1611142 results.
ID:
206891
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197433
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206892
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
896766
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206893
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
309044
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206894
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
313888
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206895
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
309042
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206896
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
808118
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206897
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
309683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206898
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1012021
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206899
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
849506
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206900
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797863
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
30
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