Displaying 205151-205160 of 1611142 results.
ID:
205151
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
310154
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205152
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
848768
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205153
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1738511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205154
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
205316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205155
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
205315
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205156
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
313583
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205157
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
313585
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205158
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
992438
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205159
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
992447
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205160
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
310672
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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