Displaying 204471-204480 of 1611142 results.
ID:
204471
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198317
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
204472
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198318
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
204473
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
309332
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
75
Qty Limit Days:
30
ID:
204474
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197519
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204475
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1000126
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
90
ID:
204476
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198232
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204477
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
311727
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204478
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
317128
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204479
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
309337
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204480
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1596023
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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