Displaying 119401-119410 of 1611142 results.
ID:
119401
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
863836
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119402
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
863841
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119403
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
863829
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119404
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1373327
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119405
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1797849
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119406
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
207370
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119407
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
706467
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119408
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
688242
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119409
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
205739
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119410
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
208513
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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