Displaying 203811-203820 of 1611142 results.
ID:
203811
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
311995
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
14
ID:
203812
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1648759
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
14
ID:
203813
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
903847
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203814
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1307061
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203815
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1115698
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203816
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1308569
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
203817
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
351209
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203818
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
310362
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
203819
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197623
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203820
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1232585
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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