Displaying 217931-217940 of 1611142 results.
ID:
217931
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
308979
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217932
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197303
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217933
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197304
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217934
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197853
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217935
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
858813
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217936
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
858817
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217937
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
858810
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217938
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
308973
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217939
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
858824
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217940
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
858828
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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