Displaying 203641-203650 of 1611142 results.
ID:
203641
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
730794
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203642
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
831261
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203643
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
861025
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203644
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
881341
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203645
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
199690
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203646
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197417
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203647
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197418
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203648
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197419
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203649
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
311207
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203650
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198239
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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