Displaying 217891-217900 of 1611142 results.
ID:
217891
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198035
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217892
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198036
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217893
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1807894
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217894
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1193341
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217895
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1193337
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217896
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1193345
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217897
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1193349
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217898
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1193353
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217899
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2359344
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
21
ID:
217900
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2359348
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
21
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