Displaying 202951-202960 of 1611142 results.
ID:
202951
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197696
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202952
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198243
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
202953
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1870650
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202954
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1191234
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202955
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
307718
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202956
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
307719
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202957
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1665210
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202958
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1668267
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202959
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
239209
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202960
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1807518
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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