Displaying 216801-216810 of 1611142 results.
ID:
216801
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
966222
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216802
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
966253
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216803
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
892246
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216804
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
966248
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216805
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
966224
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216806
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
966225
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216807
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
966249
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216808
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
892251
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216809
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
892255
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216810
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
966270
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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