Displaying 204111-204120 of 1611142 results.
ID:
204111
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
700408
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204112
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1112687
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204113
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197654
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
204114
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
748879
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204115
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
359385
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204116
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
835956
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204117
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
748859
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204118
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1359032
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204119
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1359027
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204120
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
751875
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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