Displaying 209721-209730 of 1611142 results.
ID:
209721
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000076
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209722
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1606347
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209723
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1606349
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209724
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
242892
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
209725
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1149632
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
209726
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
242891
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
209727
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
248478
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
209728
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
198296
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209729
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000097
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209730
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
966787
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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