Displaying 218351-218360 of 1611142 results.
ID:
218351
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091654
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218352
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1235150
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218353
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1235157
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218354
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
310467
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218355
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
860103
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218356
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
310377
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218357
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
745462
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218358
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
731566
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218359
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
731568
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218360
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
731571
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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