Displaying 219781-219790 of 1611142 results.
ID:
219781
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
993470
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219782
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
993462
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219783
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1867547
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219784
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047868
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
219785
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
608934
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219786
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
832718
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219787
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801299
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219788
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
832731
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219789
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801295
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219790
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123111
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
30
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