Displaying 217011-217020 of 1611142 results.
ID:
217011
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
751868
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217012
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
751871
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217013
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
751870
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217014
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
762007
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217015
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
751885
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217016
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
753481
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217017
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
762333
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217018
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
751890
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217019
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1358780
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217020
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1358765
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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