Displaying 203301-203310 of 1611142 results.
ID:
203301
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
854238
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203302
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
854241
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203303
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
854248
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203304
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
854245
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203305
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
854252
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203306
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
406503
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203307
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
858262
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203308
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
310023
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203309
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
205669
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203310
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197549
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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