Displaying 219551-219560 of 1611142 results.
ID:
219551
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
831102
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219552
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
831054
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219553
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197381
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219554
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197379
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219555
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197603
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219556
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
904458
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
219557
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197380
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219558
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198045
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219559
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
317136
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219560
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198046
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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