Displaying 209731-209740 of 1611142 results.
ID:
209731
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
966793
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
209732
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
830865
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209733
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
830869
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209734
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
830872
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209735
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
208327
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209736
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
260350
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209737
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
260351
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209738
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
432401
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209739
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000058
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209740
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
226552
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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