Displaying 213641-213650 of 1611142 results.
ID:
213641
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1721475
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213642
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
789980
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213643
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
828755
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213644
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
828539
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213645
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
545835
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213646
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
645884
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213647
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
754508
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213648
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
197411
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213649
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
310600
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213650
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
403850
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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