Displaying 206531-206540 of 1611142 results.
ID:
206531
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
198152
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206532
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
312615
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206533
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197365
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206534
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197366
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206535
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197363
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206536
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197364
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206537
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197383
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206538
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197382
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206539
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
805515
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206540
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
603378
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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