Displaying 204291-204300 of 1611142 results.
ID:
204291
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
596926
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
204292
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
596930
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
204293
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
596934
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
204294
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
308192
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204295
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
834061
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204296
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
834102
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204297
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
310436
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204298
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
310437
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204299
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
579148
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204300
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
104894
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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