Displaying 202691-202700 of 1611142 results.
ID:
202691
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197979
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202692
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197978
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202693
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1246306
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202694
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1246290
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202695
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1666334
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202696
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1116639
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202697
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
966524
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202698
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
966529
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202699
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
859192
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202700
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
801962
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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