Displaying 215331-215340 of 1611142 results.
ID:
215331
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
312070
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215332
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1117522
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215333
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1664981
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215334
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
859871
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215335
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
204416
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215336
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1722934
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215337
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
730781
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215338
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1807632
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215339
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1795609
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215340
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1807552
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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