Displaying 203831-203840 of 1611142 results.
ID:
203831
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
807225
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203832
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1486496
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203833
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
763106
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203834
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1658241
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203835
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1939299
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203836
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1939348
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203837
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
577324
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203838
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
727316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203839
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1870207
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203840
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1374574
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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