Displaying 204871-204880 of 1611142 results.
ID:
204871
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
637216
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204872
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
312941
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204873
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
312938
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204874
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
308194
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204875
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
308182
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204876
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
283406
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
204877
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
283407
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
204878
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
283485
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
204879
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
756209
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204880
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
311943
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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