Displaying 223071-223080 of 1611142 results.
ID:
223071
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
727575
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223072
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1040012
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223073
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1040016
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223074
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1653470
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223075
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1086776
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223076
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1086780
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223077
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1086786
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223078
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1307415
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223079
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1307421
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223080
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1869699
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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