Displaying 213091-213100 of 1611142 results.
ID:
213091
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
835958
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213092
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
834346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213093
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
993466
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213094
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
993470
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213095
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
993462
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213096
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1867547
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213097
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2047868
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213098
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
608934
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213099
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
834350
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213100
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
832718
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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