Displaying 209961-209970 of 1611142 results.
ID:
209961
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
722116
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209962
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
198250
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209963
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
863559
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209964
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
897612
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209965
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
897618
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209966
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
897624
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209967
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
897630
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209968
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
312025
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209969
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
198041
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209970
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
582926
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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