Displaying 217951-217960 of 1611142 results.
ID:
217951
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
402505
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217952
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
402506
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217953
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1313885
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217954
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
577237
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217955
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
310285
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217956
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198359
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217957
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
204119
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217958
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1359020
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217959
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1358775
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217960
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
751884
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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