Displaying 204961-204970 of 1611142 results.
ID:
204961
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
309058
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204962
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
419849
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204963
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1800499
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204964
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1800500
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204965
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
992150
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204966
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
403818
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204967
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
730869
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204968
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
897021
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204969
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2049264
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204970
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1856424
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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