Displaying 205041-205050 of 1611142 results.
ID:
205041
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198242
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
205042
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
485489
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
205043
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
308136
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205044
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197361
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205045
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
310432
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205046
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
311880
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205047
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
317174
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205048
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
312745
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205049
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
616483
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205050
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
312743
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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