Displaying 210881-210890 of 1611142 results.
ID:
210881
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
858051
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210882
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
858057
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210883
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
858055
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210884
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
858053
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210885
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
2059017
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210886
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1232084
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210887
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1232088
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210888
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1114202
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210889
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1549683
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210890
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1650968
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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