Displaying 301-310 of 1611142 results.
ID:
301
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
847741
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
302
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
835892
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
303
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2056897
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
304
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
746609
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
305
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
845518
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
306
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
845512
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
307
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
847734
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
308
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
860244
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
309
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1002300
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
310
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
998191
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
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