Displaying 215021-215030 of 1611142 results.
ID:
215021
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
617322
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215022
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
863599
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215023
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
309686
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215024
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
312055
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215025
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1085745
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215026
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
992432
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215027
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000054
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215028
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
197878
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215029
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
831215
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215030
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
831252
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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