Displaying 204271-204280 of 1611142 results.
ID:
204271
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
731227
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204272
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
731250
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204273
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
730046
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204274
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
731231
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204275
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
731235
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204276
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
731241
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204277
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
731245
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204278
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1605172
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204279
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
352262
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204280
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
731229
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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