Displaying 215481-215490 of 1611142 results.
ID:
215481
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
979492
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215482
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
979480
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215483
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
248109
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215484
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
314108
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215485
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
311290
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215486
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
854984
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215487
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
854988
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215488
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
854925
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215489
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
857166
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215490
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
857174
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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