Displaying 210151-210160 of 1611142 results.
ID:
210151
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
996097
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210152
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
996615
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210153
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
996594
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210154
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
996603
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210155
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
996609
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210156
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
966920
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210157
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
801054
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210158
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1540356
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210159
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
992475
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210160
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
995258
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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