Displaying 202051-202060 of 1611142 results.
ID:
202051
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1946840
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202052
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1946844
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202053
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1946848
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202054
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
865098
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202055
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
752388
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202056
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
731281
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202057
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1652646
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202058
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1718936
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202059
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1652242
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202060
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1926332
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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