Displaying 631-640 of 1611142 results.
ID:
631
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1666334
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
632
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1116639
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
633
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1872261
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
634
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055008
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
635
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
991233
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
636
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
308047
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
637
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
308048
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
638
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
197321
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
639
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
197322
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
640
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
198033
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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