Displaying 221381-221390 of 1611142 results.
ID:
221381
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665050
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221382
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665093
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221383
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665088
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221384
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665046
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221385
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
310467
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221386
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
992395
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221387
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
860103
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221388
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
310377
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221389
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
745462
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221390
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
731566
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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