Displaying 205471-205480 of 1611142 results.
ID:
205471
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2467571
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
205472
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2467575
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
205473
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2265689
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
1
ID:
205474
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2472789
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205475
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2478450
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205476
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2369403
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205477
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1594673
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205478
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2475406
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
1
ID:
205479
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198050
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205480
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198049
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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