Displaying 217051-217060 of 1611142 results.
ID:
217051
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197900
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
217052
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197901
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
217053
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197902
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
217054
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
311386
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217055
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
311385
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217056
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
314075
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217057
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
310812
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217058
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
861427
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217059
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
991086
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217060
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
314006
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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