Displaying 204921-204930 of 1611142 results.
ID:
204921
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
979471
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
204922
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198188
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204923
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
313134
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204924
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
562508
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204925
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
849398
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204926
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
849431
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204927
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
861783
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204928
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
617430
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204929
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
199884
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204930
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
311296
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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