Displaying 207421-207430 of 1611142 results.
ID:
207421
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1545166
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
207422
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1545163
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
207423
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1545159
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
207424
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1545156
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
207425
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
858074
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207426
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
858051
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207427
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
858057
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207428
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
858055
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207429
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
858053
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207430
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
2059017
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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