Displaying 208791-208800 of 1611142 results.
ID:
208791
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
315090
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208792
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
310157
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208793
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1795598
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208794
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1366192
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
208795
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1796922
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208796
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
311913
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208797
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1744001
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208798
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1744005
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208799
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1744009
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208800
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1243585
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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