Displaying 205351-205360 of 1611142 results.
ID:
205351
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1092357
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205352
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1798370
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
205353
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1798375
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
205354
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
200132
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
1
ID:
205355
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
199149
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
1
ID:
205356
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
199150
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
1
ID:
205357
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
311915
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205358
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1867544
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205359
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1725064
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205360
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1437713
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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