Displaying 217021-217030 of 1611142 results.
ID:
217021
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1359030
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217022
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1359025
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217023
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1359135
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217024
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1095362
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217025
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
753482
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217026
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
750268
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217027
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
761977
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217028
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
750265
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217029
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
762001
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217030
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
762334
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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