Displaying 204161-204170 of 1611142 results.
ID:
204161
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
844829
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204162
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1001690
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204163
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
905394
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204164
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
404539
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204165
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
810094
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204166
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
404552
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204167
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
810087
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204168
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
748977
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204169
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1091632
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204170
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1091629
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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