Displaying 216011-216020 of 1611142 results.
ID:
216011
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1011752
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216012
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1011755
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216013
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
313362
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216014
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
313364
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216015
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
313361
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216016
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
197558
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216017
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
197557
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216018
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
903843
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216019
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2049884
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216020
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2045959
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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