Displaying 203711-203720 of 1611142 results.
ID:
203711
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
898687
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203712
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
898690
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203713
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
898719
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203714
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1100184
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
203715
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
857169
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203716
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
857183
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203717
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
857187
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203718
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197732
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203719
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
312750
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
203720
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
312748
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
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