Displaying 202151-202160 of 1611142 results.
ID:
202151
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
762852
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202152
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
762859
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202153
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
762868
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202154
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
762897
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202155
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
260285
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202156
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
205826
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202157
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1011987
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202158
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
856935
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202159
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1009341
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202160
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
486155
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
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