Displaying 208001-208010 of 1611142 results.
ID:
208001
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
966235
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208002
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
966237
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208003
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
966238
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208004
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
966246
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208005
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
966241
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208006
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
966243
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208007
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049223
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
208008
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049227
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
208009
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049216
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
208010
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
854801
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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