Displaying 211361-211370 of 1611142 results.
ID:
211361
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
617322
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211362
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
863599
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211363
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
309686
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211364
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
312055
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211365
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1085745
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211366
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
992432
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211367
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000054
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211368
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197878
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211369
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
831215
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211370
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
831252
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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