Displaying 219481-219490 of 1611142 results.
ID:
219481
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1115464
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219482
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1115473
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219483
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1946522
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219484
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
727705
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
219485
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1655728
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
219486
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
825170
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
180
ID:
219487
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801278
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
180
ID:
219488
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
847741
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
219489
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
835892
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219490
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
212957
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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