Displaying 216751-216760 of 1611142 results.
ID:
216751
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
615100
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216752
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
309783
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216753
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
637551
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216754
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
237367
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216755
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1860463
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216756
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1860239
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216757
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
312507
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216758
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
615107
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216759
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
615111
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216760
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
847626
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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