Displaying 203981-203990 of 1611142 results.
ID:
203981
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
211140
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203982
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
706831
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203983
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
706827
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203984
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
706829
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203985
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
706825
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203986
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
858074
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203987
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
858051
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203988
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
858057
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203989
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
858055
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203990
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
858053
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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