Displaying 213491-213500 of 1611142 results.
ID:
213491
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
761977
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213492
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
750265
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213493
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
762001
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213494
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
762334
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213495
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
753483
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213496
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
750267
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213497
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1095229
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213498
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
857560
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213499
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
898362
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213500
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
312529
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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