Displaying 202131-202140 of 1611142 results.
ID:
202131
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
584201
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202132
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
207136
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202133
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1000158
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
90
ID:
202134
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1046920
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202135
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
404457
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202136
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
404458
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202137
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
404459
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202138
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1549456
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202139
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1549454
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202140
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
882533
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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