Displaying 203011-203020 of 1611142 results.
ID:
203011
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1245443
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203012
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1245373
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203013
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
309329
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203014
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
314078
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203015
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197635
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203016
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197634
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203017
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
309844
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
203018
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
865117
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203019
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
865123
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203020
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
860918
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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