Displaying 204311-204320 of 1611142 results.
ID:
204311
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
311759
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204312
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
866511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204313
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
866514
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204314
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
476809
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
204315
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197499
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204316
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197500
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204317
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198105
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204318
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198104
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204319
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
860510
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204320
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
860516
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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