Displaying 203771-203780 of 1611142 results.
ID:
203771
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1191307
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203772
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
543460
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203773
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197574
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
203774
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197575
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
203775
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
309333
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
203776
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1992273
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203777
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198245
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203778
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
992441
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203779
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
992454
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203780
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1053753
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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