Displaying 207941-207950 of 1611142 results.
ID:
207941
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1111343
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207942
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
284008
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207943
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
313919
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207944
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797865
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
34
Qty Limit Days:
30
ID:
207945
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797867
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
207946
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
860107
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207947
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1992299
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207948
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
904481
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
207949
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
260218
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
207950
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
205324
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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