Displaying 217121-217130 of 1611142 results.
ID:
217121
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
991082
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217122
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
702519
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1500
Qty Limit Days:
30
ID:
217123
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
314182
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217124
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
885219
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217125
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
885213
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217126
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049635
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
217127
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198086
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
217128
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
199167
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
217129
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
199164
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
217130
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
763181
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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