Displaying 203221-203230 of 1611142 results.
ID:
203221
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
617995
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203222
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203223
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
359296
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203224
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
308212
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203225
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
403810
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203226
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
403811
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203227
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1806195
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
203228
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1806179
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
203229
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1806183
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
203230
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
308191
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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