Displaying 209491-209500 of 1611142 results.
ID:
209491
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
597852
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209492
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
597850
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209493
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
310273
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209494
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
284245
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209495
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
835886
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209496
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
213484
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209497
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
759473
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209498
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
896185
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
209499
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
896212
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
209500
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
896229
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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