Displaying 208501-208510 of 1611142 results.
ID:
208501
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1490026
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208502
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1490034
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208503
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1490038
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208504
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
313580
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
208505
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1996246
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208506
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
859081
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
208507
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
846192
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208508
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
759697
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208509
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
759481
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208510
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
2046376
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
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