Displaying 202571-202580 of 1611142 results.
ID:
202571
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1362712
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202572
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1362720
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202573
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
308865
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
202574
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1303736
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202575
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1860154
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
202576
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1860151
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
202577
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1860127
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
202578
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
856448
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202579
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
856457
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202580
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
856519
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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