Displaying 204601-204610 of 1611142 results.
ID:
204601
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1667666
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
204602
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1667670
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
204603
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1667674
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
204604
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1667678
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
204605
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1741747
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204606
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1809471
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204607
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1243346
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204608
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1243326
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204609
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1243330
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204610
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1243229
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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