Displaying 219131-219140 of 1611142 results.
ID:
219131
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
313364
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219132
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
313361
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219133
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197558
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219134
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197557
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219135
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
903843
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219136
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2049884
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219137
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2059189
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219138
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2055286
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219139
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2265701
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219140
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2283505
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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