Displaying 203731-203740 of 1611142 results.
ID:
203731
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1010604
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203732
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198182
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203733
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
351223
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203734
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
401938
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203735
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2477272
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203736
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
239189
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203737
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
863538
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203738
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1191299
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203739
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
240209
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
203740
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
318202
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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