Displaying 208481-208490 of 1611142 results.
ID:
208481
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
637173
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208482
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
312840
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
28
ID:
208483
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
314209
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
28
ID:
208484
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
199206
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208485
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197805
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208486
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197806
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208487
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197807
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208488
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
311347
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208489
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
311204
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
208490
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
898715
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
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