Displaying 203121-203130 of 1611142 results.
ID:
203121
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
897612
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203122
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
897618
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203123
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
897624
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203124
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
897630
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203125
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
745791
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203126
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
582926
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203127
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1597129
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203128
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1745091
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
1
ID:
203129
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1801289
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203130
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
857564
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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