Displaying 203631-203640 of 1611142 results.
ID:
203631
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
864661
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203632
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2001424
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203633
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1363408
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203634
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1363410
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203635
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1364581
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203636
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1790175
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203637
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1790167
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203638
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1790171
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203639
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197703
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203640
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1300783
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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