Displaying 207221-207230 of 1611142 results.
ID:
207221
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
259306
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207222
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1799654
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207223
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
105292
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207224
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
199592
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
207225
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
483090
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207226
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
476399
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207227
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
476515
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207228
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
805464
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
207229
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1659927
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
207230
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
2046585
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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