Displaying 203931-203940 of 1611142 results.
ID:
203931
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1242819
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
30
ID:
203932
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1242815
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
203933
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
616749
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203934
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
728231
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203935
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
477367
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203936
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
477372
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203937
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2391560
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
30
ID:
203938
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1657212
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203939
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1147228
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203940
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2197873
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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