Displaying 214721-214730 of 1611142 results.
ID:
214721
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
313995
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
214722
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
314214
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214723
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
312835
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214724
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
314215
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214725
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
312836
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214726
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
311277
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214727
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1099563
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214728
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
904932
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
214729
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
313758
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214730
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
199655
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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