Displaying 203461-203470 of 1611142 results.
ID:
203461
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
485020
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203462
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
856364
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203463
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
863636
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203464
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
863619
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203465
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
863628
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203466
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
314080
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203467
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1190655
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203468
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
545236
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203469
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
706872
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203470
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
312075
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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