Displaying 205261-205270 of 1611142 results.
ID:
205261
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1812011
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205262
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1812013
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205263
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
562806
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205264
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
260260
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205265
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1370758
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
205266
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
311382
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205267
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1366550
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205268
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
861668
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205269
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
830795
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205270
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
831359
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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