Displaying 206561-206570 of 1611142 results.
ID:
206561
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
199167
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206562
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
199164
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206563
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
763181
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206564
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
763179
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206565
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
763185
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206566
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
763183
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206567
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
861424
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206568
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1047040
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206569
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1047041
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206570
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1727569
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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