Displaying 203311-203320 of 1611142 results.
ID:
203311
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197550
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203312
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2102717
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203313
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2102713
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203314
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2102715
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203315
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2475840
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203316
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2107621
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
1
ID:
203317
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
348506
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203318
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1719862
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203319
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
866103
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203320
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
672567
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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