Displaying 203971-203980 of 1611142 results.
ID:
203971
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1439903
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203972
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2105657
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203973
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2105645
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203974
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2105653
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203975
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2180336
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203976
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
545276
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203977
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1483554
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203978
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
615979
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203979
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
402252
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203980
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
207059
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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