Displaying 219141-219150 of 1611142 results.
ID:
219141
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2283515
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219142
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2283518
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219143
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2283509
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219144
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2283513
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219145
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2283538
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219146
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2283536
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219147
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2283540
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219148
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
311944
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219149
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2119481
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219150
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2058520
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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