Displaying 203321-203330 of 1611142 results.
ID:
203321
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
672569
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203322
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
672571
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203323
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
207249
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203324
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
993541
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203325
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
993557
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203326
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
996097
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203327
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
996615
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
203328
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
996594
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
203329
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
996603
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
203330
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
996609
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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