Displaying 208581-208590 of 1611142 results.
ID:
208581
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
477347
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208582
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
642452
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208583
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
602635
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208584
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1736654
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208585
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1736656
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208586
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1806683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208587
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1806684
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208588
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1356074
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208589
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
748832
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208590
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1874537
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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