Displaying 219231-219240 of 1611142 results.
ID:
219231
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1926332
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219232
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1745114
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
219233
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2380236
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219234
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2380260
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219235
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
311036
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219236
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2380256
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219237
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
311026
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219238
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
351859
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219239
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
106892
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219240
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
847254
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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