Displaying 205201-205210 of 1611142 results.
ID:
205201
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2055014
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205202
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197701
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205203
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
310433
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205204
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
310434
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205205
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
403966
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205206
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
403967
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205207
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
309367
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205208
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198014
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205209
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
311753
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
205210
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1299897
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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