Displaying 217421-217430 of 1611142 results.
ID:
217421
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1312627
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217422
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1150836
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217423
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2118539
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217424
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
864650
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217425
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
308511
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217426
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1375922
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217427
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
204423
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217428
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
310687
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217429
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
314165
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217430
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
226343
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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