Displaying 219121-219130 of 1611142 results.
ID:
219121
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197698
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219122
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197840
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219123
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
856783
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219124
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1607796
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219125
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1607792
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219126
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
577348
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
219127
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1992873
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219128
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2119706
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219129
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
349287
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
219130
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
313362
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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