Displaying 216461-216470 of 1611142 results.
ID:
216461
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
866094
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216462
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
866083
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216463
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
211817
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216464
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
978006
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216465
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
833217
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216466
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
831103
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216467
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
831102
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216468
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
831054
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216469
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197724
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216470
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197381
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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