Displaying 214391-214400 of 1611142 results.
ID:
214391
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
197797
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214392
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
197726
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214393
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1653217
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214394
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
851750
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214395
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
251575
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214396
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
860225
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214397
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1111018
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214398
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
212381
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214399
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1430383
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214400
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1440185
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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