Displaying 203471-203480 of 1611142 results.
ID:
203471
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
308345
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203472
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197636
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203473
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
260243
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203474
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
312641
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203475
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1928954
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203476
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
905222
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203477
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197855
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203478
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197856
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203479
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
897683
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203480
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
314184
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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