Displaying 208981-208990 of 1611142 results.
ID:
208981
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1718936
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208982
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1652242
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208983
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1926332
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208984
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1745114
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
208985
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
2380236
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208986
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
2380260
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208987
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
311036
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208988
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
2380256
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208989
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
311026
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208990
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
351859
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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