Displaying 203481-203490 of 1611142 results.
ID:
203481
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
310537
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203482
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
897722
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203483
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197942
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203484
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197941
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203485
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
861007
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203486
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
861010
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203487
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
861004
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203488
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
861731
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203489
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
562524
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203490
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1652673
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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