Displaying 202631-202640 of 1611142 results.
ID:
202631
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
103401
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
202632
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197327
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202633
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197328
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202634
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
199041
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
202635
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
242736
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202636
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
706546
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
202637
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
897126
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202638
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2398842
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202639
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1991311
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202640
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1991317
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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