Displaying 204241-204250 of 1611142 results.
ID:
204241
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1659598
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204242
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
240984
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204243
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1659137
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204244
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1743547
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204245
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1734932
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204246
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1665517
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204247
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1668238
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204248
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1722939
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204249
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
861360
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204250
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1734683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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