Displaying 219241-219250 of 1611142 results.
ID:
219241
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
847213
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219242
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1652640
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219243
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
847189
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219244
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
847199
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219245
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1731317
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219246
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
643177
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
219247
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
643173
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
219248
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
643175
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
219249
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
799830
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
219250
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1045408
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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