Displaying 204081-204090 of 1611142 results.
ID:
204081
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197304
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204082
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197853
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204083
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
858813
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204084
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
858817
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204085
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
858810
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204086
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
308973
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204087
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
858824
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204088
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
858828
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204089
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
308976
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204090
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
310247
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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