Displaying 205171-205180 of 1611142 results.
ID:
205171
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
312828
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
205172
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
312829
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
205173
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
312830
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
205174
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
312831
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
205175
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
312832
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
205176
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
314211
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
205177
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
199890
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205178
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
845488
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205179
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
861736
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205180
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
861740
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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