Displaying 203691-203700 of 1611142 results.
ID:
203691
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1091322
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203692
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1091152
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203693
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1232202
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203694
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1232194
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203695
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197702
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203696
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1049615
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203697
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1736047
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203698
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1736050
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203699
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1736053
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203700
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1736044
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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