Displaying 219621-219630 of 1611142 results.
ID:
219621
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
835925
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219622
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
241834
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219623
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1876397
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219624
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1235267
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219625
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
349094
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
219626
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
351109
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
219627
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098666
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219628
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098678
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219629
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
904467
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
219630
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
904475
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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