Displaying 204381-204390 of 1611142 results.
ID:
204381
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1658341
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204382
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1658345
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204383
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2274816
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204384
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2274814
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204385
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2044355
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204386
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2044357
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204387
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2044969
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204388
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2044967
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204389
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2044971
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204390
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
745752
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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