Displaying 214251-214260 of 1611142 results.
ID:
214251
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1053753
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
214252
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1006688
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214253
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
861434
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
28
ID:
214254
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
197785
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214255
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
197803
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214256
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
861490
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
236
Qty Limit Days:
28
ID:
214257
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
798133
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214258
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
755470
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214259
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
544452
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214260
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
597768
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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