Displaying 218551-218560 of 1611142 results.
ID:
218551
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
312821
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218552
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
312069
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218553
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
312070
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218554
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1117522
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218555
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1664981
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218556
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
859871
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218557
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
204416
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218558
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1722934
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218559
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
730781
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218560
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1807632
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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