Displaying 351-360 of 1611142 results.
ID:
351
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923056
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
70
Qty Limit Days:
28
ID:
352
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923058
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
28
ID:
353
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2002719
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
354
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058981
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
355
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123314
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
356
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2121096
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
357
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2121100
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
358
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2390954
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
359
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
545293
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
360
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
207029
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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