Displaying 204041-204050 of 1611142 results.
ID:
204041
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1812470
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204042
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1655934
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204043
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2053512
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204044
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
762394
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204045
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
284592
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204046
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
284594
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204047
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
284593
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204048
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
284595
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204049
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
904158
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204050
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
861495
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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