Displaying 219541-219550 of 1611142 results.
ID:
219541
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
847232
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219542
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
285018
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219543
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
855178
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219544
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
866094
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219545
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
866083
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219546
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
211817
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219547
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801283
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
219548
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
978006
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219549
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
833217
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219550
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
831103
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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