Displaying 1401-1410 of 1611142 results.
ID:
1401
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
905379
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1402
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790533
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
1403
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1791560
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
1404
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1791569
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
1405
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1791576
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
1406
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1791582
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
1407
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1812015
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1408
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
862006
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1409
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
862013
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1410
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
862019
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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