Displaying 207311-207320 of 1611142 results.
ID:
207311
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
861164
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207312
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
861171
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207313
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
645037
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
207314
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000064
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207315
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
577154
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207316
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
198140
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207317
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
403969
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207318
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
403972
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207319
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
403970
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207320
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
403971
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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