Displaying 202521-202530 of 1611142 results.
ID:
202521
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
995218
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202522
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1299896
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202523
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
866090
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202524
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
643066
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202525
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1652084
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202526
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1006801
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202527
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
996921
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202528
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
721773
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202529
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
476179
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202530
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
476177
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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