Displaying 207231-207240 of 1611142 results.
ID:
207231
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
403878
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
207232
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1098143
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207233
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
2200174
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
207234
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
2200177
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
207235
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
2200180
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
207236
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
2200183
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
207237
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1648755
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207238
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
725021
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207239
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
725023
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207240
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
311994
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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