Displaying 216771-216780 of 1611142 results.
ID:
216771
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
314034
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216772
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198284
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216773
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197316
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216774
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
310671
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216775
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197506
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216776
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
856429
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216777
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
310670
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216778
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1373483
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
30
ID:
216779
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1373491
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
216780
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
866491
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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