Displaying 203201-203210 of 1611142 results.
ID:
203201
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1047041
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203202
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
861476
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203203
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1665697
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203204
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1665685
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203205
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
403920
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203206
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
312068
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203207
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
314152
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203208
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
312071
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203209
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
859867
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203210
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
992481
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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