Displaying 209241-209250 of 1611142 results.
ID:
209241
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1310144
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209242
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1310147
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209243
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1364114
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209244
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1364118
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209245
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1364122
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209246
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1603361
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
21
ID:
209247
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1603365
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
21
ID:
209248
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1603369
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
21
ID:
209249
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1656346
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
209250
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1425110
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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