Displaying 207141-207150 of 1611142 results.
ID:
207141
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
252478
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207142
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
103968
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207143
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
252479
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207144
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
248642
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207145
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1010600
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
207146
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1307056
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
207147
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1010604
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
207148
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
198182
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207149
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
351223
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207150
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
198070
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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