Displaying 204101-204110 of 1611142 results.
ID:
204101
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
402506
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204102
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1313885
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204103
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
577237
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204104
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
310285
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204105
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198359
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204106
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
389242
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204107
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
204119
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204108
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1359020
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204109
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1358775
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204110
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
751884
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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