Displaying 208941-208950 of 1611142 results.
ID:
208941
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
198049
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208942
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1251334
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208943
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1190110
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208944
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1368459
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208945
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
751970
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208946
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
836358
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208947
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
349590
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208948
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
311286
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208949
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
242754
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208950
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1191250
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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