Displaying 205371-205380 of 1611142 results.
ID:
205371
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197944
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205372
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1659929
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205373
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2102705
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205374
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2058906
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205375
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2049133
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205376
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2049121
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205377
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1365979
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205378
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1986331
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205379
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1918230
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205380
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2054269
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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