Displaying 208951-208960 of 1611142 results.
ID:
208951
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
207373
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208952
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1245268
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208953
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
885209
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208954
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1922765
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208955
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1922763
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208956
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
105553
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208957
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
105590
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208958
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1364498
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208959
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1364490
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208960
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1364494
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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