Displaying 203041-203050 of 1611142 results.
ID:
203041
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
995232
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203042
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
977883
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203043
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197863
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203044
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197556
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203045
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197554
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203046
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197555
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203047
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
856369
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203048
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1009145
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
203049
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
687043
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
203050
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
577957
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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