Displaying 212371-212380 of 1611142 results.
ID:
212371
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
966177
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212372
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
966182
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212373
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
966187
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212374
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
2104866
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212375
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
966196
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212376
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
966202
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212377
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
966207
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212378
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665906
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
212379
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665900
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
212380
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1801322
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
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