Displaying 204741-204750 of 1611142 results.
ID:
204741
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2049278
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
204742
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
790288
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
204743
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
790264
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
204744
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
309140
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204745
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197518
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204746
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
284215
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204747
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1658221
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204748
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
544840
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204749
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
313165
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
30
ID:
204750
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
865129
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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