Displaying 203401-203410 of 1611142 results.
ID:
203401
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
808751
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203402
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
808753
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203403
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
808744
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203404
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
808748
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203405
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
861601
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203406
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
861597
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203407
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
615882
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203408
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
212438
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203409
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
212437
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203410
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
284496
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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