Displaying 204181-204190 of 1611142 results.
ID:
204181
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
430902
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204182
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
828348
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204183
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1369831
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204184
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1811182
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204185
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1716215
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204186
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1716219
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204187
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1716223
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204188
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1649405
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204189
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
852920
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204190
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
313096
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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