Displaying 203561-203570 of 1611142 results.
ID:
203561
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
854908
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203562
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
201708
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203563
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
672908
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203564
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
672910
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203565
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
672909
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203566
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
248420
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203567
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
351172
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203568
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
199422
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203569
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
200082
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203570
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
199663
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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