Displaying 205071-205080 of 1611142 results.
ID:
205071
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
313580
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205072
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1996246
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205073
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
859081
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205074
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
846192
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205075
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
759697
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205076
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
759481
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205077
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
311288
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205078
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
311289
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205079
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
387003
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205080
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
807832
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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