Displaying 207151-207160 of 1611142 results.
ID:
207151
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
401938
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207152
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
758032
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
207153
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
758027
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
207154
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1650282
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
180
ID:
207155
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1649996
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
207156
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1650004
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
207157
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
2477272
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207158
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
795749
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
180
ID:
207159
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1809520
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207160
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
239189
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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