Displaying 204391-204400 of 1611142 results.
ID:
204391
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1649961
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204392
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
213360
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204393
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
404449
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204394
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
700418
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204395
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
404450
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204396
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1242233
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204397
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
616116
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204398
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
616114
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204399
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
643714
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204400
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1429367
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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