Displaying 210771-210780 of 1611142 results.
ID:
210771
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
198140
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210772
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
403969
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210773
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
403972
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210774
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
403970
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210775
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
403971
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210776
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197987
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210777
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197986
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210778
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1251903
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210779
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
721787
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210780
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
860215
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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