Displaying 207101-207110 of 1611142 results.
ID:
207101
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
2180345
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
207102
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
312845
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207103
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
312846
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207104
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
283858
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207105
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
562704
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207106
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
312849
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207107
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
997229
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207108
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
997223
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207109
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
993503
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
207110
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
993518
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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