Displaying 203851-203860 of 1611142 results.
ID:
203851
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1433879
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203852
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1546894
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203853
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1857913
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203854
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1857917
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203855
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1857925
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203856
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1989506
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203857
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2122526
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203858
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2380551
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
203859
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2374566
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203860
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197839
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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