Displaying 213891-213900 of 1611142 results.
ID:
213891
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
308345
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213892
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
197636
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213893
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
260243
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213894
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
312641
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213895
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1312625
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213896
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
884526
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213897
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1090641
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213898
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
905222
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213899
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
197855
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213900
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
197856
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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