Displaying 202921-202930 of 1611142 results.
ID:
202921
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
577057
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202922
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
886634
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202923
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1437702
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202924
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
857002
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202925
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
857005
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202926
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
856999
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202927
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2001565
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
202928
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2001566
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
202929
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2001568
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
202930
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
993781
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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