Displaying 831-840 of 1611142 results.
ID:
831
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806181
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
832
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806197
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
833
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
897696
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
834
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
897702
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
835
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
897710
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
836
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
864706
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
837
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049611
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
838
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049618
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
839
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
245136
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
840
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
245134
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
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