Displaying 205131-205140 of 1611142 results.
ID:
205131
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
848140
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
205132
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
848131
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
205133
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
848145
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
205134
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
848151
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
205135
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
848135
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
205136
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
854894
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
205137
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
854880
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
205138
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
672149
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205139
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1356074
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205140
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1486452
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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