Displaying 207921-207930 of 1611142 results.
ID:
207921
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197625
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
207922
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197626
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
207923
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197627
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
207924
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197628
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
207925
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
199390
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207926
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197553
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207927
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
328160
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207928
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
310490
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
207929
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
310488
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
207930
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
993687
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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