Displaying 219901-219910 of 1611142 results.
ID:
219901
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
402109
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
219902
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
834235
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219903
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
834241
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219904
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000076
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219905
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000097
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219906
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
830865
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219907
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
830869
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219908
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
830872
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219909
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
260350
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
219910
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
260351
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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