Displaying 211131-211140 of 1611142 results.
ID:
211131
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1659592
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211132
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1659598
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211133
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
240984
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211134
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1659131
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211135
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1659137
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211136
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1659149
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211137
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1743547
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211138
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1734932
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211139
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665517
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211140
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1668238
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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