Displaying 217541-217550 of 1611142 results.
ID:
217541
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
199690
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217542
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197417
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217543
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197418
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217544
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197419
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217545
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
311207
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217546
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198239
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217547
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198238
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217548
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1922720
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217549
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1650143
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217550
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1298910
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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