Displaying 209621-209630 of 1611142 results.
ID:
209621
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1863605
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209622
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
615099
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209623
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
615100
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209624
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
309783
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209625
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
637551
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209626
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
237367
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209627
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1860463
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209628
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1860239
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209629
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
312507
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209630
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
615107
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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