Displaying 208031-208040 of 1611142 results.
ID:
208031
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
309045
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208032
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197449
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208033
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
212039
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208034
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
212232
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208035
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
212373
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208036
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1946772
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208037
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
198181
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208038
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
251322
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208039
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1242611
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208040
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1242613
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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