Displaying 204821-204830 of 1611142 results.
ID:
204821
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1992303
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204822
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
427163
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204823
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
313123
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204824
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2399892
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
204825
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2399895
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
204826
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2399898
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
204827
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2399901
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
204828
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198013
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204829
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198012
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204830
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1797113
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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