Displaying 208541-208550 of 1611142 results.
ID:
208541
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
309081
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208542
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197452
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208543
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197453
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208544
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
309110
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208545
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
309113
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208546
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
200345
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
208547
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197903
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
208548
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197904
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
208549
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197905
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
208550
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
311353
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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