Displaying 219401-219410 of 1611142 results.
ID:
219401
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197583
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219402
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
310429
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219403
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197860
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219404
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197861
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219405
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197862
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219406
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
105585
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219407
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197931
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219408
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
312617
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219409
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198144
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219410
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198146
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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