Displaying 209901-209910 of 1611142 results.
ID:
209901
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197659
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209902
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197657
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209903
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
541878
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209904
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
541892
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209905
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
577961
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209906
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
541363
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209907
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
404059
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209908
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
404062
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209909
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
643488
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209910
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
751868
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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