Displaying 204531-204540 of 1611142 results.
ID:
204531
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
905024
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
204532
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
577208
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204533
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
205328
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204534
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
314155
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204535
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
351107
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204536
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
859193
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204537
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
686379
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204538
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
855818
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204539
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
855812
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204540
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1665093
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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