Displaying 218711-218720 of 1611142 results.
ID:
218711
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
562508
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218712
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
617430
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218713
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
199884
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218714
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
311296
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218715
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
200285
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218716
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
349353
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218717
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
636042
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218718
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
636045
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218719
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
251872
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218720
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
314200
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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