Displaying 63731-63740 of 1611142 results.
ID:
63731
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
748879
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63732
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
834768
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63733
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
748859
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63734
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
751875
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63735
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
903456
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63736
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
903697
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63737
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
903703
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63738
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
313195
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63739
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
198240
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63740
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
748865
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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