Displaying 203501-203510 of 1611142 results.
ID:
203501
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1099292
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203502
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1099296
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203503
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197433
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203504
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
896766
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203505
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
309683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203506
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1012021
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203507
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
849506
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203508
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1797863
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203509
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
213262
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203510
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
310015
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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