Displaying 205081-205090 of 1611142 results.
ID:
205081
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
846378
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205082
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
309112
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205083
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
309114
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205084
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
310274
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205085
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
313570
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
205086
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
313571
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
205087
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
309049
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205088
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
309048
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205089
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
105171
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205090
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
995599
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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