Displaying 202361-202370 of 1611142 results.
ID:
202361
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1946522
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202362
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
966271
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202363
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
727705
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
202364
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1655728
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
202365
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
825170
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
202366
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1801278
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
202367
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
966158
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202368
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
966247
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202369
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
966171
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202370
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
966282
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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