Displaying 204541-204550 of 1611142 results.
ID:
204541
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1665088
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204542
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
310467
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204543
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
992395
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204544
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
860103
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204545
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
310377
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204546
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
731541
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204547
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
966157
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204548
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
966164
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204549
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
966170
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204550
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
966175
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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