Displaying 224801-224810 of 1611142 results.
ID:
224801
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
312070
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224802
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1722919
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224803
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1722921
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224804
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1117522
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224805
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1664981
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224806
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
859871
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224807
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
204416
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224808
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1722934
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224809
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
730781
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224810
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1807632
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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