Displaying 204351-204360 of 1611142 results.
ID:
204351
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1300370
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204352
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
805579
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204353
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
901518
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204354
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
830463
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204355
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1601407
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204356
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
809159
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
204357
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
802652
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
204358
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1653225
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
204359
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2182340
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
204360
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2392142
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
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