Displaying 205271-205280 of 1611142 results.
ID:
205271
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
801957
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205272
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
801961
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205273
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
801966
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205274
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
830877
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205275
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
830879
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205276
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
830882
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205277
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
830897
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205278
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198363
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
205279
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
200220
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205280
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
830861
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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