Displaying 205321-205330 of 1611142 results.
ID:
205321
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
310431
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205322
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1731020
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205323
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
751563
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205324
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
753451
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205325
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
751139
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205326
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
728113
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
205327
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
483442
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205328
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
483448
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205329
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
483446
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205330
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
312515
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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