Displaying 204061-204070 of 1611142 results.
ID:
204061
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1370750
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
204062
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
861487
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
59
Qty Limit Days:
30
ID:
204063
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
966577
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
204064
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1992281
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204065
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
203088
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
204066
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
313227
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204067
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
857366
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
85
Qty Limit Days:
30
ID:
204068
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
313226
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204069
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
308715
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204070
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
848208
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
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