Displaying 217151-217160 of 1611142 results.
ID:
217151
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
381056
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217152
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
206842
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217153
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
562251
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217154
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
617995
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217155
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217156
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
359296
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217157
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
308212
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217158
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
403810
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217159
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
403811
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217160
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
308191
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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