Displaying 203871-203880 of 1611142 results.
ID:
203871
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
845515
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203872
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1119400
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203873
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
199369
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203874
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
861164
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203875
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
861171
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203876
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
645037
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
203877
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1000064
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203878
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
577154
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203879
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198140
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203880
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
403969
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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