Displaying 203921-203930 of 1611142 results.
ID:
203921
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2397128
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203922
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
314106
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203923
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
311681
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203924
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
856377
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203925
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
308460
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203926
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
248656
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203927
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
204844
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203928
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198372
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203929
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198369
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203930
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198370
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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