Displaying 219301-219310 of 1611142 results.
ID:
219301
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055815
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219302
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
835721
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219303
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1046920
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219304
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797888
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219305
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
404457
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
219306
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
404458
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
219307
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
404459
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
219308
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1549456
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
219309
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1549454
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
219310
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
205562
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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