Displaying 205031-205040 of 1611142 results.
ID:
205031
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
860898
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205032
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1361615
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205033
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1361226
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205034
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
861363
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205035
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
861365
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205036
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
861356
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205037
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2049891
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205038
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
404419
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205039
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
106351
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205040
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198241
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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