Displaying 202621-202630 of 1611142 results.
ID:
202621
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1649988
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202622
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
308189
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202623
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
313797
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202624
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
239191
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202625
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
313920
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202626
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
106258
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
202627
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
203105
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
202628
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197409
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
202629
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197408
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
202630
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197405
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
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