Displaying 217141-217150 of 1611142 results.
ID:
217141
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
312068
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217142
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
314152
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217143
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
312071
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217144
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
859867
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217145
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198159
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217146
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1191256
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217147
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
311678
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217148
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1085728
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217149
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1191315
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217150
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
628953
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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