Displaying 217521-217530 of 1611142 results.
ID:
217521
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
639537
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217522
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1095712
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217523
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665515
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217524
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1719286
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217525
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2045201
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217526
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
313115
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217527
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
239240
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217528
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
848956
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217529
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
864661
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217530
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2001424
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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