Displaying 203571-203580 of 1611142 results.
ID:
203571
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
905199
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203572
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
905225
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203573
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
905395
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203574
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198371
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203575
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197817
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203576
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197818
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203577
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197889
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203578
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
855172
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
203579
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
242679
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203580
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
309313
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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