Displaying 217961-217970 of 1611142 results.
ID:
217961
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1011081
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217962
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1112687
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217963
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
748879
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217964
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
359385
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217965
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
834768
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217966
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
835956
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217967
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
748859
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217968
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1359032
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217969
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1359027
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217970
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
751875
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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