Displaying 219001-219010 of 1611142 results.
ID:
219001
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
311382
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219002
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1366550
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219003
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
861668
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
219004
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
801957
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219005
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
801961
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219006
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
801966
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219007
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
830877
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219008
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
830879
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219009
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
830882
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219010
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
830897
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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