Displaying 205221-205230 of 1611142 results.
ID:
205221
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
897659
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205222
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
897640
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205223
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
897781
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205224
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
897783
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205225
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
897844
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205226
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
855480
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
205227
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
855474
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
205228
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198373
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
205229
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1094543
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205230
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
897853
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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