Displaying 216761-216770 of 1611142 results.
ID:
216761
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
801405
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216762
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
866924
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216763
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197465
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
216764
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197466
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
216765
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197505
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216766
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198286
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216767
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1298857
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216768
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197464
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
216769
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1298861
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216770
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1298870
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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