Displaying 203391-203400 of 1611142 results.
ID:
203391
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
856373
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203392
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197985
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203393
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197984
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203394
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
598006
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203395
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197650
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203396
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1091155
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
203397
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1091170
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
203398
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1091185
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
203399
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1091210
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
203400
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1995461
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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