Displaying 203751-203760 of 1611142 results.
ID:
203751
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1085686
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
203752
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1368018
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203753
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
238151
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203754
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1368034
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203755
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1797895
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203756
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
151030
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203757
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
977990
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
203758
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
977978
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
203759
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
309289
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
203760
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
309291
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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