Displaying 204011-204020 of 1611142 results.
ID:
204011
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1251922
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204012
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1739788
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204013
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1149617
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
204014
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
213197
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204015
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
997010
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204016
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
861353
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204017
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
866427
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204018
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
866412
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204019
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
866419
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204020
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198034
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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