Displaying 223051-223060 of 1611142 results.
ID:
223051
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
829762
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223052
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658637
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223053
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
307718
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223054
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
307719
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223055
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
831430
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223056
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1807516
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223057
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665210
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223058
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1659292
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223059
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1659294
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223060
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
206423
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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