Displaying 203071-203080 of 1611142 results.
ID:
203071
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
762333
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203072
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
751890
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203073
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1358780
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203074
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1358765
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203075
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1359030
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203076
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1359025
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203077
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1359135
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203078
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1095362
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203079
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
753482
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203080
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
750268
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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