Displaying 203821-203830 of 1611142 results.
ID:
203821
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2055650
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
203822
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1190919
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203823
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1244205
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203824
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
830470
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203825
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1300310
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203826
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1300206
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203827
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1300468
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203828
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1607808
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203829
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
797641
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203830
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2360588
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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