Displaying 208611-208620 of 1611142 results.
ID:
208611
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
310672
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208612
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
314035
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208613
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197754
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208614
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
686924
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208615
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
200032
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208616
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
979092
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208617
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1738483
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
208618
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1738495
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
208619
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1738503
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
208620
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1099596
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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