Displaying 209451-209460 of 1611142 results.
ID:
209451
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
834137
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209452
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
810002
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209453
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
809990
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209454
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
809994
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209455
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
809998
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209456
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
995156
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209457
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
308963
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209458
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
317173
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209459
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
308964
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209460
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197604
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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