Displaying 219071-219080 of 1611142 results.
ID:
219071
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1243585
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219072
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
313988
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219073
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
309307
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219074
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1790684
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219075
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197854
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219076
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
310003
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219077
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
310004
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219078
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
310005
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219079
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1099681
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219080
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197682
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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