Displaying 203241-203250 of 1611142 results.
ID:
203241
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
828539
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203242
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
545835
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203243
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
754508
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203244
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197411
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203245
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
310600
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203246
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
403850
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203247
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
810090
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203248
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
403851
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203249
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
810083
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203250
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
403852
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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