Displaying 218301-218310 of 1611142 results.
ID:
218301
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
309686
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218302
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
312055
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218303
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1085745
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218304
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000054
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218305
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197878
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218306
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
831215
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218307
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
831252
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218308
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
831285
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218309
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
312301
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218310
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
859186
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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