Displaying 1031-1040 of 1611142 results.
ID:
1031
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
311893
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1032
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
199521
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
1033
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
198076
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1034
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
198077
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1035
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
198078
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1036
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
198075
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1037
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
313472
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
1038
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
198153
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1039
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
905269
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1040
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
905283
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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