Displaying 219111-219120 of 1611142 results.
ID:
219111
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1940654
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219112
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1921081
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
219113
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1866047
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219114
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1099026
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219115
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1099269
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219116
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1020155
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219117
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1720616
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219118
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1369737
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219119
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1722676
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219120
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1369770
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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