Displaying 213951-213960 of 1611142 results.
ID:
213951
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1116150
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213952
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
310594
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213953
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
905379
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213954
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
750839
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213955
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
686405
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213956
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
206075
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213957
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
206078
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213958
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1293504
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213959
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
669081
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213960
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1812015
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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