Displaying 203141-203150 of 1611142 results.
ID:
203141
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
905269
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203142
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
905283
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203143
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198152
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203144
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
312615
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203145
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197446
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203146
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197365
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203147
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197366
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203148
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197363
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203149
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197364
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203150
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197383
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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