Displaying 204891-204900 of 1611142 results.
ID:
204891
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
315223
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
ID:
204892
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
313161
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
ID:
204893
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
313160
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
ID:
204894
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
854873
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
204895
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
310796
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
204896
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
310797
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
204897
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
310809
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
204898
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198052
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204899
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
312086
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204900
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
310384
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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