Displaying 211-220 of 1611142 results.
ID:
211
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
198146
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
213272
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
207100
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
804547
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307630
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
216
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307635
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243010
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
218
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243014
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
219
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1601394
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
220
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1601386
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
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