Displaying 202931-202940 of 1611142 results.
ID:
202931
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1049221
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202932
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1049225
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202933
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1049214
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202934
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1091497
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
202935
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1091392
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
202936
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1091145
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
202937
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1091225
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
202938
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1806181
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
202939
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1806197
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
202940
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
897696
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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