Displaying 206221-206230 of 1611142 results.
ID:
206221
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000048
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206222
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
876524
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206223
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
876514
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206224
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
876529
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206225
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
876519
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206226
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
312593
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206227
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
966220
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206228
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
966221
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206229
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
966222
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206230
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
966253
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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