Displaying 219971-219980 of 1611142 results.
ID:
219971
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870650
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219972
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
829762
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219973
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1191234
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219974
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658637
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219975
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
307718
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219976
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
307719
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219977
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
831430
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219978
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1807516
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219979
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665210
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219980
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659292
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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