Displaying 207351-207360 of 1611142 results.
ID:
207351
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
860225
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207352
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1111018
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207353
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
212381
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207354
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1430383
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207355
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1440185
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207356
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
2107008
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207357
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1550536
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207358
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
2106997
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207359
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1660690
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207360
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
314106
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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