Displaying 218841-218850 of 1611142 results.
ID:
218841
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
310274
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218842
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
313570
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
10
ID:
218843
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
313571
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
80
Qty Limit Days:
10
ID:
218844
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
309049
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218845
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
309048
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218846
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
105171
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218847
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
995599
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218848
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
995607
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218849
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
307650
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218850
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
309097
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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