Displaying 209351-209360 of 1611142 results.
ID:
209351
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
308177
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209352
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
598025
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209353
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
617309
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209354
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
617316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209355
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
617296
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209356
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
757707
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
209357
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
403957
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
209358
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
636664
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209359
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
608328
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209360
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1148141
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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