Displaying 213701-213710 of 1611142 results.
ID:
213701
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
854228
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
213702
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
854235
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
11
Qty Limit Days:
28
ID:
213703
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
854238
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
213704
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
854241
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
22
Qty Limit Days:
28
ID:
213705
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
854248
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
213706
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
854245
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
22
Qty Limit Days:
28
ID:
213707
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
854252
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
213708
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
406503
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213709
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
858262
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213710
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
310023
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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