Displaying 204521-204530 of 1611142 results.
ID:
204521
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1992299
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204522
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
904481
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
204523
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
260218
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
204524
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
205324
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
204525
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
617312
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204526
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
617310
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204527
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
617311
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204528
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
310818
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204529
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
259255
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204530
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
905028
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
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