Displaying 215871-215880 of 1611142 results.
ID:
215871
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
801966
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215872
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
830877
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215873
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
830879
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215874
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
830882
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215875
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
830897
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215876
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
245723
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215877
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
198363
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215878
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
200220
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215879
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
830861
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215880
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
830845
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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