Displaying 204461-204470 of 1611142 results.
ID:
204461
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1607617
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204462
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
311345
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204463
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198200
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204464
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
349514
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204465
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
351256
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204466
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
351257
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204467
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1307427
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204468
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
310261
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204469
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
308459
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204470
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
141963
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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