Displaying 206441-206450 of 1611142 results.
ID:
206441
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000114
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206442
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
199159
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206443
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000135
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206444
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000141
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206445
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197658
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206446
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197659
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206447
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197657
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206448
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
541878
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206449
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
541892
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206450
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
577961
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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