Displaying 208121-208130 of 1611142 results.
ID:
208121
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1536490
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208122
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
310878
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208123
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049696
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
208124
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
311982
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208125
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
104884
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208126
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
861430
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208127
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197939
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208128
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197940
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208129
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
886662
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208130
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
886666
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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