Displaying 203791-203800 of 1611142 results.
ID:
203791
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
403975
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
203792
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
259306
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
203793
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
105292
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203794
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
199592
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203795
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
483090
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203796
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
476399
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203797
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
476515
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203798
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
805464
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203799
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1659927
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203800
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2046585
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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