Displaying 204761-204770 of 1611142 results.
ID:
204761
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1117522
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204762
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1664981
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204763
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
859871
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204764
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
204416
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204765
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1722934
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204766
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1807632
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204767
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1795609
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204768
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1807552
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204769
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1743549
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204770
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1795477
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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