Displaying 205001-205010 of 1611142 results.
ID:
205001
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1799001
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205002
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1790317
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205003
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
314230
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205004
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
242120
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205005
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1652639
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205006
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
628958
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205007
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
349591
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205008
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
349592
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205009
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
349593
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205010
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1011736
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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