Displaying 213361-213370 of 1611142 results.
ID:
213361
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
307718
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213362
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
307719
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213363
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
831430
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213364
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1807516
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213365
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665210
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213366
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1659292
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213367
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1659294
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213368
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
206423
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213369
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1668267
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213370
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
239209
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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