Displaying 202081-202090 of 1611142 results.
ID:
202081
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1364441
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202082
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1364447
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202083
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
607579
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202084
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1664984
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202085
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1664988
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202086
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1598989
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202087
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1601660
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202088
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1992428
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202089
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
859865
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202090
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
352297
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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