Displaying 216251-216260 of 1611142 results.
ID:
216251
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
207370
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216252
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
688242
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216253
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
205739
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216254
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
208513
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216255
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
404550
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216256
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
150840
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216257
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
208949
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216258
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
202301
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216259
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000491
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216260
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000497
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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