Displaying 213541-213550 of 1611142 results.
ID:
213541
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1597123
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
213542
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1597129
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
213543
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
828299
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213544
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1745091
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
213545
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1801289
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213546
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
857564
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213547
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
311892
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213548
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
311893
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213549
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
199521
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213550
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
198076
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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