Displaying 203001-203010 of 1611142 results.
ID:
203001
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
755497
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203002
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
992765
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203003
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
630208
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203004
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
245314
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203005
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
485968
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203006
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
991061
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203007
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
857683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203008
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1000913
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203009
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198202
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203010
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
857677
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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