Displaying 203511-203520 of 1611142 results.
ID:
203511
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1150836
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203512
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
864650
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203513
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
308511
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203514
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
204423
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203515
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
310687
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203516
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
314165
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203517
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
226343
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203518
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1191013
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203519
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
308493
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203520
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1116150
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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