Displaying 204701-204710 of 1611142 results.
ID:
204701
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
308989
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204702
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
308988
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204703
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197443
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204704
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1099678
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204705
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1099870
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204706
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1356563
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204707
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1356572
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204708
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1356576
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204709
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1356580
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204710
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1356584
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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