Displaying 203231-203240 of 1611142 results.
ID:
203231
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
899461
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
203232
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
899485
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
203233
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1101926
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203234
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
899495
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
203235
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1101932
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203236
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
199119
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
203237
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1654630
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203238
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2000007
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203239
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1721475
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203240
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
828755
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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