Displaying 204051-204060 of 1611142 results.
ID:
204051
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
861448
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
204052
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
309370
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
204053
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
315059
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
204054
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
103457
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
204055
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197407
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204056
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
310364
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
204057
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
238920
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
204058
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
349351
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
204059
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
204135
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
204060
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1370754
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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