Displaying 202991-203000 of 1611142 results.
ID:
202991
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2052704
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202992
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2105817
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202993
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1300797
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202994
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1300803
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202995
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
967388
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202996
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
307730
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202997
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
106302
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202998
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
884308
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202999
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
106387
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203000
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
308714
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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