Displaying 217701-217710 of 1611142 results.
ID:
217701
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1300206
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217702
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1300191
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217703
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1300468
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217704
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1607808
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217705
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
797641
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217706
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2360588
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217707
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
807225
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217708
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1486496
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217709
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
763106
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217710
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658241
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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