Displaying 203861-203870 of 1611142 results.
ID:
203861
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
313447
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203862
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
861402
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203863
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
835593
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203864
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
835564
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203865
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
835568
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203866
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197739
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203867
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
861156
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203868
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
998189
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203869
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
896758
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203870
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
896762
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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