Displaying 217401-217410 of 1611142 results.
ID:
217401
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1650142
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217402
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1650444
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217403
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
353538
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217404
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1723156
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217405
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
897666
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217406
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1099288
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217407
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1099300
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217408
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1099304
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217409
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1099316
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217410
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1099292
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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