Displaying 205381-205390 of 1611142 results.
ID:
205381
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
432400
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205382
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1940654
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205383
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1099269
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205384
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1006065
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205385
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1020155
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205386
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1369737
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205387
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1369770
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205388
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
808917
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205389
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197698
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205390
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197840
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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