Displaying 205021-205030 of 1611142 results.
ID:
205021
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1367436
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205022
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
647237
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205023
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
647239
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205024
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198313
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205025
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198312
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205026
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
643123
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205027
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
643125
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205028
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
643127
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205029
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
352210
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205030
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198175
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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