Displaying 204781-204790 of 1611142 results.
ID:
204781
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1235249
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204782
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1040036
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204783
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1431237
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204784
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1040043
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204785
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1297357
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204786
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1356693
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204787
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1926823
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204788
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1926827
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204789
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1812434
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204790
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
866111
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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