Displaying 221501-221510 of 1611142 results.
ID:
221501
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
349401
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221502
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
349405
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221503
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
205322
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221504
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
205323
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221505
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
403853
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221506
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
403854
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221507
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
403855
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221508
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
859981
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221509
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
859975
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221510
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
849389
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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