Displaying 209951-209960 of 1611142 results.
ID:
209951
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
310812
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209952
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
861427
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209953
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
991086
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209954
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
314006
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
209955
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
315107
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
209956
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
310489
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
209957
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1375948
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209958
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
250344
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
28
ID:
209959
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1596781
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
209960
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
722122
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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