Displaying 202431-202440 of 1611142 results.
ID:
202431
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2390954
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
202432
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1298099
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202433
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
545293
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202434
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
207029
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202435
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
665022
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202436
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1720881
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202437
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1251596
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202438
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
207035
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202439
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
261101
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202440
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
847232
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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