Displaying 204711-204720 of 1611142 results.
ID:
204711
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1356588
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204712
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1790126
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204713
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
824299
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204714
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
824303
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204715
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2054157
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204716
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1796665
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204717
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1604384
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204718
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2054159
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204719
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1604350
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204720
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1792393
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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