Displaying 203031-203040 of 1611142 results.
ID:
203031
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
310497
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203032
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
905369
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203033
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
311166
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203034
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197832
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203035
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
349196
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203036
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
349197
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203037
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
905516
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203038
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
905495
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203039
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
835913
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203040
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1000405
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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