Displaying 203681-203690 of 1611142 results.
ID:
203681
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
465355
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203682
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
979099
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203683
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
967023
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203684
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
967012
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203685
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198332
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203686
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
856987
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203687
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
856992
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203688
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
311989
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203689
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
994521
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203690
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1091389
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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