Displaying 212251-212260 of 1611142 results.
ID:
212251
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
311913
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212252
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1744001
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212253
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1744005
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212254
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1744009
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212255
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1243585
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212256
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
313988
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212257
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
309307
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212258
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1790684
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212259
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197854
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212260
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1373008
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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