Displaying 207201-207210 of 1611142 results.
ID:
207201
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
543460
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207202
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
309333
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
207203
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
388517
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207204
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1992273
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
207205
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
855168
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207206
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
198245
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207207
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1597076
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
207208
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1053753
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
207209
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1006688
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207210
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
861434
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
28
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