Displaying 206001-206010 of 1611142 results.
ID:
206001
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
995156
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206002
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
308963
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206003
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
317173
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206004
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
308964
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206005
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197604
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206006
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197606
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206007
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
198089
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206008
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
198083
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206009
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
314055
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206010
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1655960
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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