Displaying 203021-203030 of 1611142 results.
ID:
203021
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
859841
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203022
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197516
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203023
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197517
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203024
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
996740
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203025
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
311369
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203026
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1482908
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203027
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1806187
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
203028
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1806189
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
203029
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1806191
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
203030
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1806193
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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