Displaying 212571-212580 of 1611142 results.
ID:
212571
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
688242
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212572
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
205739
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212573
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
208513
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212574
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
404550
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212575
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
150840
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212576
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
208949
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212577
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
202301
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212578
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000491
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212579
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000497
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212580
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000499
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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