Displaying 217211-217220 of 1611142 results.
ID:
217211
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
855342
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217212
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
855348
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217213
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
855300
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217214
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
854228
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
217215
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
854235
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
11
Qty Limit Days:
28
ID:
217216
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
854238
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
217217
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
854241
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
22
Qty Limit Days:
28
ID:
217218
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
854248
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
217219
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
854245
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
22
Qty Limit Days:
28
ID:
217220
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
854252
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
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