Displaying 219271-219280 of 1611142 results.
ID:
219271
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
665044
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
219272
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
665040
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
219273
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
744846
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
219274
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
665036
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
219275
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1235595
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
219276
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1235591
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
219277
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
668606
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
219278
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
861821
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
219279
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
861771
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
219280
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729311
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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