Displaying 216921-216930 of 1611142 results.
ID:
216921
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1307415
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
216922
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1307421
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
216923
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1869699
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
216924
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1805427
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216925
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1602588
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216926
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1805422
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216927
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1602594
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216928
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1858971
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216929
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
751620
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216930
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
751623
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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