Displaying 217111-217120 of 1611142 results.
ID:
217111
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1796091
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217112
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1796096
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217113
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1862688
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217114
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1862701
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217115
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1862697
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217116
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1862692
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217117
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2359285
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217118
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2359290
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217119
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2359353
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217120
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2359358
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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