Displaying 219751-219760 of 1611142 results.
ID:
219751
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
898367
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219752
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
898378
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219753
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
898372
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219754
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198228
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219755
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
852913
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219756
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
993536
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
219757
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
852877
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219758
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197979
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219759
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197978
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219760
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1666334
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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