Displaying 219851-219860 of 1611142 results.
ID:
219851
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298857
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219852
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197464
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
219853
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298861
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219854
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298870
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219855
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
314034
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219856
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198284
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219857
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197316
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219858
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
310671
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219859
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
856429
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219860
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
310670
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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