Displaying 203551-203560 of 1611142 results.
ID:
203551
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
313762
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
203552
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
313761
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
203553
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
884173
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203554
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
884185
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203555
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
884189
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203556
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1099625
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203557
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
996571
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
203558
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
996561
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
203559
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
854916
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203560
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
854919
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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