Displaying 204811-204820 of 1611142 results.
ID:
204811
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
309955
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204812
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1117531
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204813
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1116758
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204814
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
730834
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
1
ID:
204815
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
309077
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204816
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
313428
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204817
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
242680
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204818
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
205292
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204819
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
205290
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204820
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
315134
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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