Displaying 2351-2360 of 1611142 results.
ID:
2351
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
310377
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
2352
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
745462
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
2353
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
731566
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
2354
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
731568
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
2355
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
731571
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
2356
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049223
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
2357
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049227
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
2358
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049216
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
2359
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
854801
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
2360
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
313477
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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