Displaying 1701-1710 of 1611142 results.
ID:
1701
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
807225
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1702
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1486496
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1703
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
763106
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1704
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658241
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1705
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1939299
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
1706
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1939348
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
1707
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
577324
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1708
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
727316
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
1709
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870207
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
1710
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1374574
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
28
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