Displaying 203621-203630 of 1611142 results.
ID:
203621
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1095712
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203622
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1719286
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203623
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
313115
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203624
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
239240
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203625
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
858116
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203626
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2118835
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203627
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
310291
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203628
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
809871
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203629
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197873
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203630
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2058845
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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