Displaying 205231-205240 of 1611142 results.
ID:
205231
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
859033
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205232
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
859040
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205233
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
859052
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205234
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
855642
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
200
Qty Limit Days:
30
ID:
205235
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
312504
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205236
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
313291
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205237
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
200329
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205238
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
864681
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205239
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
307731
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205240
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
864675
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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