Displaying 202341-202350 of 1611142 results.
ID:
202341
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1872980
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
202342
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1747577
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202343
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1747579
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202344
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1747567
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202345
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1747580
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202346
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1921017
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
202347
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1921010
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
202348
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1921468
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
202349
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
152971
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202350
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2166143
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
84
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