Displaying 208831-208840 of 1611142 results.
ID:
208831
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
831246
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208832
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
849515
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208833
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
833008
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208834
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
883826
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208835
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1659929
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208836
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
2058906
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208837
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1872458
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
208838
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
2049133
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
208839
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
2049121
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
208840
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1365979
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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