Displaying 223911-223920 of 1611142 results.
ID:
223911
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1486496
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223912
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
763106
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223913
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658241
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223914
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1939299
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223915
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1939348
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223916
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
577324
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223917
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
727316
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
223918
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1870207
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
223919
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2001430
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223920
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2003255
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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