Displaying 204321-204330 of 1611142 results.
ID:
204321
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
860522
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204322
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
860532
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204323
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1662285
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204324
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
205329
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204325
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
205330
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204326
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
205331
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204327
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
984082
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204328
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1551923
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204329
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1601373
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204330
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1654079
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
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