Displaying 219771-219780 of 1611142 results.
ID:
219771
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1001004
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219772
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
351264
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219773
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
904605
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219774
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
904571
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219775
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
904583
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219776
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
904593
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219777
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
848951
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219778
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
835958
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219779
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
834346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219780
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
993466
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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