Displaying 205921-205930 of 1611142 results.
ID:
205921
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
834040
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205922
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197536
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205923
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
429212
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205924
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
309374
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205925
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1299917
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205926
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
995218
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205927
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1299896
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205928
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
866090
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205929
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
643066
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205930
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1006801
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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