Displaying 202941-202950 of 1611142 results.
ID:
202941
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
897702
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202942
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
897710
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202943
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
864706
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202944
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1049611
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202945
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1049618
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202946
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
884535
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
202947
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
884532
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
202948
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
245136
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202949
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
245134
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202950
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
245135
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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