Displaying 204661-204670 of 1611142 results.
ID:
204661
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
205322
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204662
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
205323
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204663
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
403853
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204664
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
403854
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204665
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
403855
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204666
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
859981
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204667
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
859975
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204668
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
283316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204669
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
283317
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204670
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
477130
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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