Displaying 219011-219020 of 1611142 results.
ID:
219011
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
245723
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219012
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
830861
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219013
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
830837
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219014
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
830801
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219015
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
352257
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
540
Qty Limit Days:
30
ID:
219016
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1364477
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219017
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1602028
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
219018
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1602034
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
219019
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1602040
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
219020
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1602046
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
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