Displaying 203051-203060 of 1611142 results.
ID:
203051
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1000114
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203052
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
199159
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203053
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1000135
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203054
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1000141
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203055
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197658
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203056
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197659
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203057
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197657
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203058
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
541878
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
203059
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
541892
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
203060
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
577961
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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