Displaying 213261-213270 of 1611142 results.
ID:
213261
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
606730
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213262
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
198324
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213263
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
198325
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213264
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
198323
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213265
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
855942
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213266
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
618552
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213267
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
313366
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213268
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000070
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213269
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1536586
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213270
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
242333
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
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