Displaying 215281-215290 of 1611142 results.
ID:
215281
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1356576
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215282
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1356580
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215283
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1356584
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215284
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1356588
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215285
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1790126
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215286
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
824299
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215287
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
824303
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215288
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1092360
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215289
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2054157
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215290
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1796665
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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