Displaying 205241-205250 of 1611142 results.
ID:
205241
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
835726
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205242
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
349373
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205243
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
857216
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205244
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
857224
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205245
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197572
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
205246
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
314266
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205247
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
311877
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205248
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
644088
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205249
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
866905
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205250
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1041518
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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