Displaying 222681-222690 of 1611142 results.
ID:
222681
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1299909
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222682
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1362706
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222683
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1362712
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222684
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1362720
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222685
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
308865
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
222686
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
828379
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222687
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
856448
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222688
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
856457
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222689
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
856519
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222690
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
856578
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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