Displaying 611-620 of 1611142 results.
ID:
611
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2045382
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
612
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2109239
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
613
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2170993
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
614
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2173822
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
615
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2395775
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
616
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
249066
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
617
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
207840
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
618
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178081
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
619
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178077
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
620
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
311671
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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