Displaying 208071-208080 of 1611142 results.
ID:
208071
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1741739
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208072
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1799218
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
208073
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
2288816
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
208074
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1858267
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208075
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1999673
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208076
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
315183
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208077
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
831226
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208078
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
831255
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208079
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
831309
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208080
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
831338
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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