Displaying 211671-211680 of 1611142 results.
ID:
211671
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
861379
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211672
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
861383
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211673
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1743549
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211674
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1795477
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211675
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
581531
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211676
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
2371050
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211677
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
2371054
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211678
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
2371058
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211679
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
2371062
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211680
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
2371066
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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