Displaying 215201-215210 of 1611142 results.
ID:
215201
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
831255
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215202
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
831309
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215203
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
831338
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215204
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
831196
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215205
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
831248
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215206
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
831300
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215207
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
831325
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215208
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
831349
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215209
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1801298
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215210
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1801294
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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