Displaying 219061-219070 of 1611142 results.
ID:
219061
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
310155
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219062
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
315090
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219063
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
310157
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219064
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1795598
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219065
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1366192
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
219066
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1796922
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219067
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
311913
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219068
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1744001
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
219069
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1744005
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
219070
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1744009
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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