Displaying 204791-204800 of 1611142 results.
ID:
204791
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198252
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204792
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1040058
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204793
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
858804
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204794
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
794641
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204795
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
858071
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204796
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
902624
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204797
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
902626
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204798
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
617768
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204799
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1790892
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204800
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1790886
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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