Displaying 219921-219930 of 1611142 results.
ID:
219921
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
603203
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
219922
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
603206
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
219923
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
748961
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219924
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
751901
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219925
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
749761
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219926
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
748868
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219927
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1095224
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219928
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
748806
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219929
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
748804
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219930
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1607990
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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