Displaying 202791-202800 of 1611142 results.
ID:
202791
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
801648
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202792
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1863973
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202793
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1863605
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202794
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1860463
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202795
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1860239
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202796
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
866924
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202797
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197465
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202798
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197466
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202799
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
856720
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202800
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197505
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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