Displaying 202781-202790 of 1611142 results.
ID:
202781
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
861043
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202782
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
206347
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202783
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1085773
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
160
Qty Limit Days:
30
ID:
202784
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1648999
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
202785
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
486515
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202786
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
730782
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202787
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1795470
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202788
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1794886
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202789
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1795346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202790
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
805131
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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