Displaying 204431-204440 of 1611142 results.
ID:
204431
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2049677
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204432
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
762675
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204433
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
259966
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204434
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197973
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204435
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
401953
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
204436
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
401954
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
204437
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
616698
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
204438
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
616705
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
204439
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
312635
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204440
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198365
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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