Displaying 209881-209890 of 1611142 results.
ID:
209881
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
311166
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209882
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197832
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209883
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
349196
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
209884
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
349197
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
209885
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
835913
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209886
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000405
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209887
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
977883
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209888
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197863
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209889
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197556
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209890
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197554
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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