Displaying 204621-204630 of 1611142 results.
ID:
204621
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1721619
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204622
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1747697
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204623
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1741739
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204624
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1799218
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204625
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2288816
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204626
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1939335
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204627
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1999673
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204628
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
315183
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204629
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
831226
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204630
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
831255
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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