Displaying 204201-204210 of 1611142 results.
ID:
204201
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
213510
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204202
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
896108
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204203
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
310386
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204204
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
199148
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204205
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
311787
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204206
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
199370
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204207
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204208
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
309309
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204209
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197512
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204210
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
313990
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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