Displaying 203581-203590 of 1611142 results.
ID:
203581
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
351285
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203582
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2123194
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203583
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
313565
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203584
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
313564
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203585
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
199885
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203586
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
242438
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203587
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
200094
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203588
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
200095
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203589
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
200096
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203590
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197311
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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