Displaying 203261-203270 of 1611142 results.
ID:
203261
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
238003
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203262
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
403923
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203263
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
241946
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
203264
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
360507
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203265
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198322
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203266
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
308962
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203267
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
849395
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203268
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
892494
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203269
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
892596
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203270
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
892345
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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