Displaying 209471-209480 of 1611142 results.
ID:
209471
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
308189
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209472
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
313797
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209473
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
239191
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209474
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665052
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209475
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665444
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209476
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665449
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209477
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
313920
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209478
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
106258
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209479
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
203105
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209480
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197409
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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