Displaying 218791-218800 of 1611142 results.
ID:
218791
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
861363
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218792
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
861365
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218793
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
861356
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218794
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1737244
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218795
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1737581
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218796
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2049891
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218797
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
540617
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
10
ID:
218798
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
404419
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
218799
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
106351
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218800
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
308136
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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