Displaying 214641-214650 of 1611142 results.
ID:
214641
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
313498
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214642
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
313499
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214643
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
313496
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214644
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
844590
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214645
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
844813
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214646
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
844591
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214647
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
844829
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214648
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1001690
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214649
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
905394
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214650
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
404539
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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