Displaying 219021-219030 of 1611142 results.
ID:
219021
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2265729
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
219022
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2265732
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
219023
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2265735
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
219024
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
877417
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219025
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1495070
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219026
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2183907
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219027
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
199888
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219028
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
151226
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219029
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
199889
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219030
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
311486
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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