Displaying 203111-203120 of 1611142 results.
ID:
203111
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
314006
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203112
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
315107
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203113
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
310489
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203114
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1375948
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203115
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
250344
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203116
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1596781
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203117
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
722122
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203118
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
722116
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203119
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198250
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203120
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
863559
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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