Displaying 204261-204270 of 1611142 results.
ID:
204261
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
966410
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204262
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
966197
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204263
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
966399
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204264
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
966208
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204265
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
966214
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204266
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
352044
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204267
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
352045
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204268
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
352046
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204269
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
352047
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204270
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1654955
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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