Displaying 203131-203140 of 1611142 results.
ID:
203131
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
311892
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203132
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
311893
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203133
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
199521
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203134
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
996572
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203135
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198076
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203136
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198077
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203137
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198078
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203138
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198075
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203139
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
313472
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203140
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198153
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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