Displaying 209511-209520 of 1611142 results.
ID:
209511
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
852913
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209512
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
993536
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
209513
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
852877
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209514
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197979
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209515
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197978
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209516
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1246306
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
209517
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1246290
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
209518
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1666334
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209519
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1116639
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209520
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
991233
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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