Displaying 214771-214780 of 1611142 results.
ID:
214771
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
352046
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214772
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
352047
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214773
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1654955
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214774
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
731227
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214775
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
731250
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214776
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
730046
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214777
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
731231
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214778
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
731235
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214779
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
731241
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214780
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
731245
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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