Displaying 207911-207920 of 1611142 results.
ID:
207911
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
992432
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207912
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000054
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207913
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197878
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207914
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
831215
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207915
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
831252
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207916
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
831285
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207917
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
312301
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207918
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197684
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207919
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197685
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207920
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
859186
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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