Displaying 208921-208930 of 1611142 results.
ID:
208921
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
966202
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208922
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
966207
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208923
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665906
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
208924
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665900
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
208925
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1801322
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
208926
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
2262446
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208927
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
2123034
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208928
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
2274390
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208929
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1659183
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
208930
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1659161
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
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