Displaying 216941-216950 of 1611142 results.
ID:
216941
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1307309
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
216942
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1608333
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216943
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2052609
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216944
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2052704
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216945
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2105817
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216946
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1300797
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216947
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1300803
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216948
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
967388
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216949
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
307730
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216950
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
106302
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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