Displaying 208911-208920 of 1611142 results.
ID:
208911
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
2272624
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
208912
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
966153
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208913
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
966160
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208914
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
966166
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208915
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
966173
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208916
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
966177
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208917
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
966182
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208918
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
966187
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208919
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
2104866
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208920
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
966196
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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