Displaying 204771-204780 of 1611142 results.
ID:
204771
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
581531
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204772
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2371050
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204773
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2371054
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204774
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2371058
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204775
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2371062
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204776
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2371066
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204777
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1482513
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204778
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1482517
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204779
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1482523
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204780
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1482527
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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