Displaying 213821-213830 of 1611142 results.
ID:
213821
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1661092
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213822
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
309079
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213823
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1438778
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213824
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1440937
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213825
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1440183
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213826
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1537209
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213827
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1487086
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213828
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1539953
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213829
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1539955
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213830
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1605086
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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