Displaying 206621-206630 of 1611142 results.
ID:
206621
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
403851
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206622
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
810083
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206623
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
403852
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206624
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
730988
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206625
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
349556
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206626
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
240741
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206627
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
309322
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206628
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
476576
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206629
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
617423
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206630
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
617993
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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