Displaying 204171-204180 of 1611142 results.
ID:
204171
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1091635
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204172
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1091638
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204173
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1091623
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204174
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1543069
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
200
Qty Limit Days:
30
ID:
204175
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1010878
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204176
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1085741
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
204177
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1191302
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
204178
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
310152
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204179
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2180999
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204180
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1921598
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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