Displaying 219941-219950 of 1611142 results.
ID:
219941
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
577057
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
219942
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
886634
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
28
ID:
219943
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1437702
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219944
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
211343
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219945
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
857002
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
219946
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
857005
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
219947
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
856999
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
219948
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2001565
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219949
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2001566
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219950
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2001568
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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