Displaying 209831-209840 of 1611142 results.
ID:
209831
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1805422
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209832
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1602594
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209833
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1858971
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209834
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1433250
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
209835
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1433223
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
209836
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1433229
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
209837
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1433235
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
209838
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1433241
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
209839
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1606490
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
209840
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
859983
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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