Displaying 216911-216920 of 1611142 results.
ID:
216911
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
309092
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216912
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665005
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216913
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
311683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216914
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
727575
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216915
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1040012
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216916
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1040016
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216917
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1653470
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
216918
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1086776
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
216919
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1086780
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
216920
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1086786
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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