Displaying 218851-218860 of 1611142 results.
ID:
218851
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
309098
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218852
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
312940
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218853
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
309110
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218854
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
309113
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218855
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
200345
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218856
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197903
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218857
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197904
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218858
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197905
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218859
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
311353
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218860
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
311354
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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