Displaying 213731-213740 of 1611142 results.
ID:
213731
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
996594
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213732
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
996603
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213733
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
996609
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213734
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
966920
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213735
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
801054
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213736
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1540356
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213737
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
992475
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213738
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
995258
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213739
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1297753
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213740
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1297757
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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