Displaying 207241-207250 of 1611142 results.
ID:
207241
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
311995
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207242
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1648759
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207243
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
903847
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207244
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1307061
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
207245
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1115698
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207246
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1308569
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207247
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1860491
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
207248
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1860493
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
207249
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1860495
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
207250
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1860497
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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