Displaying 212991-213000 of 1611142 results.
ID:
212991
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
197409
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212992
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
197408
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212993
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
197405
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212994
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
103401
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212995
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
242736
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212996
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
706546
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212997
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1860172
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
212998
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1653198
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212999
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
977842
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213000
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
977840
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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