Displaying 215081-215090 of 1611142 results.
ID:
215081
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
859193
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215082
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
686379
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215083
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
855818
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215084
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
855812
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215085
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665050
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215086
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665093
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215087
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665088
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215088
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665046
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215089
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091650
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215090
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091654
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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