Displaying 207121-207130 of 1611142 results.
ID:
207121
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
312748
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207122
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
312079
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
207123
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
208185
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207124
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
577127
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
207125
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
404013
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
207126
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
404011
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
207127
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
597990
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
207128
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
597984
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
207129
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
597993
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
207130
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
597967
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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