Displaying 217971-217980 of 1611142 results.
ID:
217971
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
903456
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217972
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
903697
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217973
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
903703
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217974
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
313195
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217975
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198240
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217976
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
749148
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217977
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
748865
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217978
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
749848
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217979
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
753544
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217980
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
750244
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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