Displaying 215531-215540 of 1611142 results.
ID:
215531
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
722137
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215532
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
722126
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215533
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
722131
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215534
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
860715
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215535
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
860695
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215536
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
860707
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215537
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
309058
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215538
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
419849
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215539
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1800499
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215540
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
992150
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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