Displaying 203841-203850 of 1611142 results.
ID:
203841
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2003255
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203842
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2198370
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203843
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
865208
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203844
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
865212
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203845
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
865216
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203846
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
723827
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203847
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
729201
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203848
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
729203
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203849
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1796079
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203850
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1796083
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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