Displaying 203411-203420 of 1611142 results.
ID:
203411
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197848
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203412
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
855926
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203413
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
855906
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203414
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
855664
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203415
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
995281
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203416
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
309079
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203417
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
904419
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
203418
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
866436
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203419
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
855633
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
960
Qty Limit Days:
30
ID:
203420
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
199245
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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