Displaying 202551-202560 of 1611142 results.
ID:
202551
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
308868
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202552
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
403879
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202553
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
476556
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202554
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197535
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202555
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
310295
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
1
ID:
202556
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
310297
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
1
ID:
202557
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
313992
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
1
ID:
202558
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
313993
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
1
ID:
202559
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
310293
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
1
ID:
202560
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
310294
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
1
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