Displaying 206161-206170 of 1611142 results.
ID:
206161
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
310477
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206162
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1799706
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206163
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
801648
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206164
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1863973
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206165
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
630796
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206166
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1863605
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206167
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
615099
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206168
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
615100
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206169
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
309783
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206170
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
637551
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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