Displaying 203891-203900 of 1611142 results.
ID:
203891
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
351276
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203892
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
728207
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203893
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
349194
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203894
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
349195
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203895
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
349198
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203896
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
403825
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
203897
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
312439
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203898
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198103
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203899
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
250820
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203900
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
858751
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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