Displaying 218831-218840 of 1611142 results.
ID:
218831
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
759481
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218832
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1486691
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218833
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1111020
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218834
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1653221
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218835
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
311288
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218836
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
311289
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218837
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
387003
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218838
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
309112
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218839
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
309114
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218840
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
828373
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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