Displaying 205121-205130 of 1611142 results.
ID:
205121
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
349491
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205122
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1649990
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205123
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1650030
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205124
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198201
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205125
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
728109
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
1
ID:
205126
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
312122
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
205127
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
200346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205128
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
308135
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205129
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
309054
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205130
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
826612
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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