Displaying 204091-204100 of 1611142 results.
ID:
204091
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
834348
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204092
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
310379
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204093
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
310380
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204094
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1313112
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204095
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1370770
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
204096
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
855671
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204097
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
311679
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204098
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
105583
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204099
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
199378
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204100
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
402505
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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