Displaying 208251-208260 of 1611142 results.
ID:
208251
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
2384465
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
28
ID:
208252
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1670324
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208253
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1670322
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208254
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1737789
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208255
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
309952
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208256
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197622
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208257
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
309955
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208258
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1117531
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208259
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1116758
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208260
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
543492
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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