Displaying 212891-212900 of 1611142 results.
ID:
212891
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1299917
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212892
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
995218
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212893
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1299896
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212894
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
866090
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212895
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
643066
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212896
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1006801
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212897
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
996921
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212898
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
721773
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212899
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
476179
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212900
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
476177
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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