Displaying 203341-203350 of 1611142 results.
ID:
203341
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1049686
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203342
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1091150
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
203343
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
899557
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203344
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
899518
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
203345
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
899548
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
203346
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1091133
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203347
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
863664
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203348
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1012017
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203349
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
209002
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203350
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
208420
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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