Displaying 209131-209140 of 1611142 results.
ID:
209131
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
309371
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209132
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197577
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209133
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
343033
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209134
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197579
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209135
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197580
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209136
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197581
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209137
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197582
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209138
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197583
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209139
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
310429
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209140
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197860
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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