Displaying 204861-204870 of 1611142 results.
ID:
204861
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2183131
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204862
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2000133
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204863
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2000136
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204864
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1801519
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204865
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
404475
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204866
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
404476
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204867
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
856666
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
1
ID:
204868
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
979115
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204869
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1244064
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204870
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
636141
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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