Displaying 207021-207030 of 1611142 results.
ID:
207021
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1719286
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207022
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
2045201
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207023
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
313115
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207024
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
239240
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207025
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
310291
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207026
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
848956
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207027
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1596108
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
207028
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
809871
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207029
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197873
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
207030
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
864661
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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