Displaying 202871-202880 of 1611142 results.
ID:
202871
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
402109
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202872
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
834235
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202873
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
834241
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202874
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
359144
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202875
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
359145
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202876
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1000076
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202877
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1298088
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
202878
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1298091
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
202879
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1606347
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202880
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1606349
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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