Displaying 204731-204740 of 1611142 results.
ID:
204731
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1988772
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204732
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1988786
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204733
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1723763
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204734
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1723767
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204735
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1723772
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204736
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1726639
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204737
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1364362
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204738
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1364358
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204739
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2473042
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204740
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2049271
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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