Displaying 208771-208780 of 1611142 results.
ID:
208771
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
310430
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
208772
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
310459
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208773
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
828320
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208774
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
314285
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208775
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
198006
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208776
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
198007
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208777
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
198008
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208778
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
200311
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208779
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
310431
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
208780
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
702306
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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