Displaying 219711-219720 of 1611142 results.
ID:
219711
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200658
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
219712
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200650
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
219713
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
153095
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219714
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197590
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
219715
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197591
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
219716
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197589
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
219717
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197391
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219718
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197392
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219719
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
597852
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219720
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
597850
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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