Displaying 205191-205200 of 1611142 results.
ID:
205191
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
905158
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205192
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
199376
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205193
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
199381
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205194
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
898490
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205195
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
314142
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205196
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
311919
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205197
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1649401
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205198
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2054979
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205199
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2054983
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205200
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2055016
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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