Displaying 204141-204150 of 1611142 results.
ID:
204141
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1359127
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204142
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1091341
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204143
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1359124
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204144
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
403884
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204145
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
310599
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204146
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
856535
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204147
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
856569
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204148
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
856460
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204149
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
856481
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204150
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
860654
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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