Displaying 96451-96460 of 1611142 results.
ID:
96451
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
857706
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96452
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1359105
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96453
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
328161
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96454
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
197971
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96455
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
861064
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96456
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
197787
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96457
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
197782
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96458
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
197783
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96459
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
313142
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96460
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
312347
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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