Displaying 219051-219060 of 1611142 results.
ID:
219051
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
403930
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219052
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1944656
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219053
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197843
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219054
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197844
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219055
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197845
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219056
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
728113
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
365
ID:
219057
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
483442
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
219058
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
483448
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
219059
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
483446
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
219060
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
312515
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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