Displaying 219391-219400 of 1611142 results.
ID:
219391
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
315187
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219392
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
856724
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219393
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
856733
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219394
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
309371
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219395
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197577
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219396
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
343033
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219397
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197579
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219398
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197580
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219399
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197581
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219400
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197582
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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