Displaying 204151-204160 of 1611142 results.
ID:
204151
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
866144
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204152
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
199450
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204153
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
246172
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204154
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1606337
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204155
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
313498
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204156
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
313499
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204157
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
313496
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204158
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
844590
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204159
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
844813
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204160
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
844591
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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