Displaying 208361-208370 of 1611142 results.
ID:
208361
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
198335
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208362
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
979468
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208363
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
979464
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208364
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
979471
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208365
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
198188
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208366
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
313134
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208367
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
562508
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208368
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
849398
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208369
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
849431
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208370
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
861783
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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