Displaying 204971-204980 of 1611142 results.
ID:
204971
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2052064
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204972
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
861375
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204973
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
861370
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204974
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1373745
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204975
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1922783
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204976
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
485442
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
204977
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
485465
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
204978
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1989085
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204979
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
582595
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204980
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
861966
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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