Displaying 205101-205110 of 1611142 results.
ID:
205101
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
309110
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205102
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
309113
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205103
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
200345
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
205104
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197903
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205105
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197904
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205106
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197905
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205107
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
311353
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205108
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
311354
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205109
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197884
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205110
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197885
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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