Displaying 208441-208450 of 1611142 results.
ID:
208441
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
388311
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208442
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
200133
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208443
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
200131
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208444
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
861237
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208445
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
861221
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208446
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
861223
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208447
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
861225
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208448
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
861227
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208449
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
861232
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208450
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1367436
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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