Displaying 219841-219850 of 1611142 results.
ID:
219841
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860239
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219842
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
312507
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219843
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
615107
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219844
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
615111
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219845
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
847626
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219846
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
801405
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219847
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
866924
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219848
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197465
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
219849
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197466
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
219850
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198286
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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