Displaying 205211-205220 of 1611142 results.
ID:
205211
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197891
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205212
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197892
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205213
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
151029
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
205214
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
311265
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205215
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
311264
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205216
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
897649
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205217
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
349594
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205218
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
349595
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205219
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
608143
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205220
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
608139
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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