Displaying 207781-207790 of 1611142 results.
ID:
207781
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
809159
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
207782
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
802652
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
207783
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1653225
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
207784
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
2182340
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
207785
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
2392142
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
207786
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
261105
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
207787
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1547231
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207788
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
2110618
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207789
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1114074
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
207790
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1114096
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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