Displaying 219821-219830 of 1611142 results.
ID:
219821
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
730782
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219822
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1795470
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219823
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1794886
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219824
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1795346
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219825
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
310473
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219826
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
242816
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219827
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870633
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219828
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
310477
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219829
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799706
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219830
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
805131
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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