Displaying 209341-209350 of 1611142 results.
ID:
209341
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
855332
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209342
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
855344
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209343
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
242461
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209344
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
242462
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209345
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
856467
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209346
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
311666
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209347
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
311668
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209348
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
314234
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209349
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
309115
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209350
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197454
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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