Displaying 217691-217700 of 1611142 results.
ID:
217691
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1308569
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217692
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
351209
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217693
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197623
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217694
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1435115
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
217695
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1099808
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217696
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1484296
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217697
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1190919
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217698
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1244205
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217699
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
830470
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217700
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1300310
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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