Displaying 209521-209530 of 1611142 results.
ID:
209521
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1098608
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209522
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197444
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209523
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197445
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209524
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197816
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209525
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197815
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209526
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1001004
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209527
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
903873
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
209528
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
903879
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
209529
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
892342
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
209530
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
892349
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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