Displaying 219101-219110 of 1611142 results.
ID:
219101
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
831246
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219102
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
849515
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219103
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
833008
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219104
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
883826
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219105
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1659929
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219106
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2058906
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219107
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2049133
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
219108
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2049121
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
219109
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1365979
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219110
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
432400
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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