Displaying 204951-204960 of 1611142 results.
ID:
204951
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
402247
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204952
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
664741
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204953
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
833528
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204954
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
722134
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
204955
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
722137
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
204956
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
722126
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
204957
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
722131
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
204958
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
860715
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204959
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
860695
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204960
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
860707
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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