Displaying 202771-202780 of 1611142 results.
ID:
202771
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1486977
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202772
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1940498
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202773
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1593831
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202774
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1593833
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202775
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1593835
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202776
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1593775
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202777
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
847917
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202778
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
847913
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202779
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1990869
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202780
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
861045
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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