Displaying 209051-209060 of 1611142 results.
ID:
209051
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658102
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209052
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
798451
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209053
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
830263
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209054
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658150
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209055
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
2055815
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209056
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
835721
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209057
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1046920
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209058
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797888
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209059
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
404457
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209060
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
404458
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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