Displaying 219861-219870 of 1611142 results.
ID:
219861
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373483
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
30
ID:
219862
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373491
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
219863
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
866491
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219864
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197318
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219865
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
313354
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219866
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198274
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219867
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198275
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219868
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198270
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219869
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198285
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219870
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
856422
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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