Displaying 203601-203610 of 1611142 results.
ID:
203601
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198382
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203602
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
997226
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
203603
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
997220
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
203604
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
349201
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203605
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
200034
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203606
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
312078
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203607
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
314154
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203608
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
283639
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203609
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
200284
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203610
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
312076
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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