Displaying 216611-216620 of 1611142 results.
ID:
216611
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1649988
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216612
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
308189
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216613
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
313797
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216614
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
239191
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216615
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665052
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216616
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665444
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216617
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665449
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216618
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
313920
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216619
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
106258
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216620
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197409
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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