Displaying 213651-213660 of 1611142 results.
ID:
213651
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
810090
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213652
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
403851
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213653
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
810083
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213654
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
403852
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213655
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
730988
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213656
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
349556
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213657
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
240741
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213658
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
309322
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213659
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
476576
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213660
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
617423
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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