Displaying 202041-202050 of 1611142 results.
ID:
202041
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
861663
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202042
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
545278
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202043
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1551300
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202044
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1551306
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202045
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1745108
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
202046
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2395779
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202047
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2370174
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202048
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2395785
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202049
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2370170
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202050
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1946836
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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