Displaying 205051-205060 of 1611142 results.
ID:
205051
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
637173
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205052
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
312840
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
30
ID:
205053
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
314209
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
30
ID:
205054
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
199206
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205055
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197805
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205056
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197806
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205057
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197807
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205058
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
311347
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205059
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
311204
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205060
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
898715
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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