Displaying 204911-204920 of 1611142 results.
ID:
204911
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
854925
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204912
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
857166
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204913
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
857174
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204914
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
904431
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
204915
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
312087
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204916
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198334
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204917
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198335
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204918
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
433798
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204919
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
979468
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
204920
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
979464
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
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