Displaying 214671-214680 of 1611142 results.
ID:
214671
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
828348
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214672
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1369831
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214673
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1304985
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214674
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1811182
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214675
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1716215
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214676
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1716219
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214677
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1716223
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214678
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1649405
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214679
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
852920
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214680
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
313096
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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