Displaying 207801-207810 of 1611142 results.
ID:
207801
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658345
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
207802
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1602604
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207803
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1602607
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207804
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
104206
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207805
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1998774
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
207806
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1998772
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
30
ID:
207807
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1550946
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207808
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
213360
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207809
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
404449
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207810
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
700418
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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