Displaying 217001-217010 of 1611142 results.
ID:
217001
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197659
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217002
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197657
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217003
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
541878
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217004
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
541892
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217005
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
577961
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217006
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
541363
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217007
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
404059
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217008
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
404062
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217009
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
643488
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217010
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
404065
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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