Displaying 207251-207260 of 1611142 results.
ID:
207251
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1860499
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
207252
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1860501
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
207253
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
351209
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207254
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
310362
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
207255
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197623
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207256
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1435115
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
207257
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1190919
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207258
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1244205
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207259
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
830470
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207260
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1300310
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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