Displaying 115821-115830 of 1611142 results.
ID:
115821
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
197624
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115822
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1437968
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115823
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1437969
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115824
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
897657
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
115825
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049604
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1300
Qty Limit Days:
30
ID:
115826
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1874559
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
115827
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1874553
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
115828
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
900575
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115829
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
977427
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115830
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
977434
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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