Displaying 219171-219180 of 1611142 results.
ID:
219171
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2382991
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219172
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2382993
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219173
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2272630
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
219174
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2272622
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
219175
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2272636
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
219176
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2272624
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
219177
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
966153
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219178
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
966160
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219179
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
966166
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219180
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
966173
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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