Displaying 204131-204140 of 1611142 results.
ID:
204131
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1806177
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
204132
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1806185
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
204133
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2468058
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204134
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2471314
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204135
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
748962
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204136
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
831533
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204137
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1359134
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204138
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
312138
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204139
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
312839
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
30
ID:
204140
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
312837
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
30
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