Displaying 203721-203730 of 1611142 results.
ID:
203721
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
312079
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203722
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
208185
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203723
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
577127
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203724
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
403908
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203725
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198038
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203726
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198039
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203727
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198040
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203728
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
248642
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203729
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1010600
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203730
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1307056
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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