Displaying 202821-202830 of 1611142 results.
ID:
202821
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
310670
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202822
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1373483
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202823
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1373491
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202824
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
856797
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202825
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
866491
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202826
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197508
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202827
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197318
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202828
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
856825
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202829
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
313354
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202830
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198274
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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