Displaying 223561-223570 of 1611142 results.
ID:
223561
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
312075
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223562
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
308345
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223563
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197636
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
223564
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
260243
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223565
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
312641
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223566
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1090641
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223567
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
905222
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223568
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
897683
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223569
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
314184
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223570
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
311918
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
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