Displaying 204481-204490 of 1611142 results.
ID:
204481
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197388
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204482
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197980
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204483
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
617322
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204484
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
863599
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204485
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
995241
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204486
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
309686
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204487
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
312055
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204488
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1085745
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
204489
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
992432
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204490
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1000054
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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