Displaying 214951-214960 of 1611142 results.
ID:
214951
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
205922
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214952
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
205924
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214953
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1721690
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214954
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
212219
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214955
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
213475
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214956
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
794610
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214957
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
831870
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214958
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
850457
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214959
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1236632
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214960
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1359271
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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