Displaying 219601-219610 of 1611142 results.
ID:
219601
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
309047
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219602
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
312594
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219603
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198141
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219604
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
834046
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219605
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
834040
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219606
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197536
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219607
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
429212
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219608
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
309374
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219609
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1299917
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219610
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
995218
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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