Displaying 223181-223190 of 1611142 results.
ID:
223181
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1095362
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223182
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
753482
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223183
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
750268
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223184
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
761977
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223185
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
750265
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223186
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
762001
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223187
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
762334
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223188
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
753483
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223189
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
750267
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223190
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
801185
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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