Displaying 208051-208060 of 1611142 results.
ID:
208051
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1243346
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208052
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1243326
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208053
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1243330
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208054
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1243229
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208055
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
404587
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208056
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
616148
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208057
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
639888
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208058
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1744003
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208059
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1744007
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208060
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1744011
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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