Displaying 204901-204910 of 1611142 results.
ID:
204901
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
310385
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204902
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
313989
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204903
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
979485
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204904
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
979492
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204905
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
979480
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204906
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
248109
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204907
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
314108
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204908
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
311290
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204909
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
854984
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204910
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
854988
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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