Displaying 202251-202260 of 1611142 results.
ID:
202251
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
205301
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202252
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
315187
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202253
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
856724
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202254
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
856733
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202255
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
309371
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202256
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197577
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202257
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
343033
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202258
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197579
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202259
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197580
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202260
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197581
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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