Displaying 205431-205440 of 1611142 results.
ID:
205431
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
483450
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205432
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
483438
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205433
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
483440
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205434
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
483444
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205435
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2178403
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205436
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2178405
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205437
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2382990
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205438
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2178407
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205439
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2178409
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205440
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2382991
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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