Displaying 212191-212200 of 1611142 results.
ID:
212191
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
830879
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212192
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
830882
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212193
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
830897
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212194
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
245723
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212195
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
198363
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212196
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
200220
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212197
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
830861
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212198
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
830845
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212199
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
830837
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212200
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
830801
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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