Displaying 218401-218410 of 1611142 results.
ID:
218401
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
309679
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218402
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1376336
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218403
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
204874
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218404
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
313415
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218405
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1006120
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218406
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2260709
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218407
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197310
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218408
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
309045
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218409
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197449
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218410
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1946772
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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