Displaying 222871-222880 of 1611142 results.
ID:
222871
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
310477
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222872
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1799706
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222873
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
805131
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222874
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
801648
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222875
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1863973
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222876
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
630796
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222877
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1863605
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222878
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
615099
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222879
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
615100
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222880
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
309783
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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