Displaying 209631-209640 of 1611142 results.
ID:
209631
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
615111
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209632
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
847626
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209633
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
312128
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209634
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
240637
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209635
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
800420
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209636
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
800405
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209637
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
801405
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209638
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
800438
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209639
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
800444
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209640
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
866924
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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