Displaying 208641-208650 of 1611142 results.
ID:
208641
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
656659
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208642
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
905158
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208643
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
199376
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208644
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
199381
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208645
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
898490
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208646
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
686429
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208647
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
284201
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
208648
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
351134
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
208649
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
314142
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
208650
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
311919
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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