Displaying 203281-203290 of 1611142 results.
ID:
203281
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
857301
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203282
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
857305
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203283
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1812421
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203284
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1812425
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203285
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1812419
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203286
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1812427
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203287
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1494769
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203288
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
855292
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203289
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
855306
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203290
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
855316
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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