Displaying 211431-211440 of 1611142 results.
ID:
211431
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
860103
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211432
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
310377
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211433
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
745462
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211434
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
731541
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211435
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
836307
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211436
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
731566
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211437
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
731568
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211438
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
731571
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211439
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
966157
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211440
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
966164
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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