Displaying 204421-204430 of 1611142 results.
ID:
204421
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
850457
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204422
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1236632
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204423
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1359271
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204424
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
758555
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204425
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1052660
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204426
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1250723
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204427
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1600710
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204428
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1999587
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204429
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1364515
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204430
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2373941
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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