Displaying 207441-207450 of 1611142 results.
ID:
207441
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1811003
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
207442
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1810999
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
207443
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1739766
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207444
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1739774
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207445
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
2173500
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
207446
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1739778
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207447
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1739782
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207448
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1739770
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207449
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1251914
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207450
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
722256
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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