Displaying 202751-202760 of 1611142 results.
ID:
202751
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
616578
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202752
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1795252
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202753
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
245220
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202754
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
207273
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202755
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1191267
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202756
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2001321
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
202757
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1091843
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
202758
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
402091
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202759
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1986819
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202760
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2289424
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
1
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