Displaying 206961-206970 of 1611142 results.
ID:
206961
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
854919
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206962
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
854908
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206963
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
201708
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206964
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
248420
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206965
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
351172
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206966
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
199422
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206967
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
200082
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206968
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
199663
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206969
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
905199
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206970
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
905225
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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