Displaying 203351-203360 of 1611142 results.
ID:
203351
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2055676
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203352
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2055672
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203353
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
314111
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
203354
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
858798
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203355
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197738
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203356
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
311725
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
203357
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
311726
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
203358
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
884386
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
203359
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
884385
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
203360
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
993770
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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