Displaying 212481-212490 of 1611142 results.
ID:
212481
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1243848
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
212482
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1243843
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
212483
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1243833
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
212484
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
665044
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
212485
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
665040
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
212486
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
744846
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212487
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
904465
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
212488
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
665036
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
212489
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1235595
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212490
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1235591
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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