Displaying 219891-219900 of 1611142 results.
ID:
219891
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
606730
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219892
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198324
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219893
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198325
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219894
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198323
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219895
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
855942
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219896
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
313366
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219897
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000070
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219898
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
242333
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
219899
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
241527
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
219900
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
403922
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
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