Displaying 205251-205260 of 1611142 results.
ID:
205251
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1251336
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205252
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
749157
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205253
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1989507
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205254
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1053697
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205255
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197849
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205256
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1876920
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205257
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1876924
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205258
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1876916
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205259
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
308725
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205260
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
855657
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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