Displaying 210241-210250 of 1611142 results.
ID:
210241
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1095227
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210242
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1304988
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210243
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1661092
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210244
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
309079
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210245
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1438778
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210246
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1440937
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210247
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1440183
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210248
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1537209
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210249
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1487086
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210250
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1539953
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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