Displaying 205291-205300 of 1611142 results.
ID:
205291
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2265729
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
205292
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2265732
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
205293
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2265735
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
205294
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1251495
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205295
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1251501
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205296
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1495070
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205297
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
199888
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205298
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
151226
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205299
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
199889
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205300
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
311486
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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