Displaying 203251-203260 of 1611142 results.
ID:
203251
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
730988
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203252
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
349556
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203253
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
240741
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203254
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
309322
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203255
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
476576
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203256
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
617423
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203257
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
617993
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203258
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
142046
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203259
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
238004
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203260
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
313921
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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