Displaying 209261-209270 of 1611142 results.
ID:
209261
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1656356
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
209262
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1859501
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209263
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1919094
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209264
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
2169314
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209265
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
2169322
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209266
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
2362240
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209267
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
2169320
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209268
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
2362244
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209269
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1656351
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
209270
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1873991
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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