Displaying 217031-217040 of 1611142 results.
ID:
217031
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
753483
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217032
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
750267
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217033
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
801185
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217034
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
898362
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217035
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
312529
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217036
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
977880
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217037
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2047882
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217038
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
310190
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217039
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
310191
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217040
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
261178
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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