Displaying 217311-217320 of 1611142 results.
ID:
217311
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1095227
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217312
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1304988
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217313
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1661092
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217314
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
309079
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217315
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1438778
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217316
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1440937
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217317
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1440183
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217318
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1537209
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217319
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1487086
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217320
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1539953
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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