Displaying 204121-204130 of 1611142 results.
ID:
204121
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
903456
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204122
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
903697
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204123
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
903703
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204124
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
313195
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204125
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198240
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204126
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
749148
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204127
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
748865
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204128
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
749848
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204129
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
753544
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204130
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
750244
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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