Displaying 203741-203750 of 1611142 results.
ID:
203741
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
238600
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203742
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1085736
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203743
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
310465
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203744
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1085640
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
203745
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1085633
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
160
Qty Limit Days:
30
ID:
203746
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1085636
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
160
Qty Limit Days:
30
ID:
203747
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197735
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203748
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
543546
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203749
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1085644
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
160
Qty Limit Days:
30
ID:
203750
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1014314
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
160
Qty Limit Days:
30
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