Displaying 213251-213260 of 1611142 results.
ID:
213251
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
790489
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213252
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
763519
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213253
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
763574
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213254
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
763589
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213255
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
618557
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213256
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
311984
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213257
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
311985
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213258
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
360344
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213259
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
349477
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213260
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
606726
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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