Displaying 209001-209010 of 1611142 results.
ID:
209001
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
799830
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
209002
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1045408
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
209003
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1045404
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
209004
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1364441
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209005
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1364447
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209006
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
607579
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209007
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1145932
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
209008
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1799230
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
209009
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1925255
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
209010
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1925257
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
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