Displaying 214751-214760 of 1611142 results.
ID:
214751
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665517
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214752
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1668238
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214753
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1722939
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214754
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
861360
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214755
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1734683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214756
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
207949
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214757
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
966154
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214758
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
966161
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214759
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
966167
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214760
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
966401
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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