Displaying 203781-203790 of 1611142 results.
ID:
203781
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1006688
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203782
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
861434
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
203783
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197785
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
203784
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197803
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203785
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
861490
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203786
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
884520
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
203787
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
755470
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203788
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
597768
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203789
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
597770
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203790
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
597772
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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