Displaying 100561-100570 of 1611142 results.
ID:
100561
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
200285
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
100562
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
349353
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
100563
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
636042
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
100564
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
636045
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
100565
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
251872
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
100566
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
314200
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
100567
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
349483
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
100568
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
349199
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
100569
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
349200
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
100570
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
200224
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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