Displaying 204361-204370 of 1611142 results.
ID:
204361
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1310531
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204362
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1310535
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204363
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2110618
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204364
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1114074
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204365
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1114096
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204366
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
903841
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204367
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1114470
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204368
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1049504
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
204369
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1049545
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
204370
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1049565
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
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