Displaying 203911-203920 of 1611142 results.
ID:
203911
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1653217
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203912
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
851750
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203913
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
860225
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203914
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1111018
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203915
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
212381
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203916
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2107008
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203917
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2104192
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203918
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1994764
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203919
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1994758
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203920
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1660690
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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