Displaying 207661-207670 of 1611142 results.
ID:
207661
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
904932
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
207662
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
313758
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207663
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
199655
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207664
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
349208
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207665
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
360110
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207666
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
799055
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207667
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
799056
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207668
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
799054
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207669
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
206913
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207670
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
206917
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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