Displaying 210971-210980 of 1611142 results.
ID:
210971
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
310891
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210972
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
308979
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210973
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197686
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210974
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197303
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210975
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197304
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210976
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197853
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210977
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
858813
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210978
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
858817
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210979
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
858810
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210980
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
308973
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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