Displaying 204841-204850 of 1611142 results.
ID:
204841
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
259081
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204842
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
835603
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204843
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
283536
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204844
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
199387
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
1
ID:
204845
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
312085
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204846
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
308429
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204847
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
283523
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204848
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197745
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204849
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197746
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204850
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198358
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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