Displaying 203661-203670 of 1611142 results.
ID:
203661
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
858747
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203662
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1542997
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203663
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1432969
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203664
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
904880
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203665
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
891881
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203666
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
891888
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203667
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
891893
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203668
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
891874
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203669
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
892646
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203670
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
848726
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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