Displaying 205011-205020 of 1611142 results.
ID:
205011
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1011739
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205012
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
388311
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205013
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
200133
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205014
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
200131
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205015
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
861237
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205016
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
861221
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
205017
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
861223
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
205018
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
861225
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
205019
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
861227
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
205020
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
861232
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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