Displaying 214691-214700 of 1611142 results.
ID:
214691
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
580286
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214692
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2107351
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
214693
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2107355
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
214694
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1597570
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
214695
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1864414
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
214696
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1431083
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
214697
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1666385
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
214698
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1431104
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
214699
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1597575
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
214700
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1313785
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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