Displaying 202241-202250 of 1611142 results.
ID:
202241
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
313932
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202242
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
309843
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202243
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1190568
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202244
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1797907
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202245
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197730
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202246
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197731
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202247
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
756059
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202248
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
861479
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202249
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
864761
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202250
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
864769
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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