Displaying 202971-202980 of 1611142 results.
ID:
202971
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1307421
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202972
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1869699
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202973
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1805427
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202974
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1602588
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202975
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1805422
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202976
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1602594
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202977
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1858971
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202978
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
833151
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202979
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
833139
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
202980
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
833143
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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