Displaying 64731-64740 of 1611142 results.
ID:
64731
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
199376
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64732
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
199381
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64733
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
898490
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64734
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
686429
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64735
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988308
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64736
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988311
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64737
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64738
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988319
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64739
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988324
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64740
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988330
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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