Displaying 3351-3360 of 1611142 results.
ID:
3351
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
763489
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3352
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
996559
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3353
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
762833
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3354
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
762836
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3355
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
762839
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3356
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
762843
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3357
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
762875
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3358
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
762849
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3359
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
762852
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3360
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
762859
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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