Displaying 212841-212850 of 1611142 results.
ID:
212841
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
309043
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212842
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
894859
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212843
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
866042
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212844
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
855288
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212845
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
855302
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212846
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
855312
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212847
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
855318
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212848
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
855324
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212849
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
855338
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212850
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
855296
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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