Displaying 69411-69420 of 1611142 results.
ID:
69411
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
197438
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69412
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
197439
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69413
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298861
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69414
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298870
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69415
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
856769
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69416
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
314034
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69417
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
198284
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69418
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
197316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69419
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
310671
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69420
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
856792
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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