Displaying 216881-216890 of 1611142 results.
ID:
216881
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091225
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216882
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
897696
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
216883
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
897702
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
216884
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
897710
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
216885
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
864706
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
216886
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
884535
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216887
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
884532
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216888
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
245136
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
216889
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
245134
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
216890
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
245135
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
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