Displaying 203151-203160 of 1611142 results.
ID:
203151
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197382
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203152
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
805515
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203153
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
603378
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203154
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1190225
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203155
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
580261
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203156
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
836368
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203157
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1552004
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203158
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1723478
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203159
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1430453
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203160
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1430457
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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