Displaying 204501-204510 of 1611142 results.
ID:
204501
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197628
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204502
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
199390
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204503
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197553
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204504
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
328160
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204505
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
310490
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204506
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
310488
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204507
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
993687
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204508
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
993691
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204509
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
903887
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204510
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
903891
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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