Displaying 117221-117230 of 1611142 results.
ID:
117221
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
248420
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117222
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
351172
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117223
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
199422
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117224
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
200082
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117225
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
199663
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117226
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
905199
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117227
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
905225
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117228
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
905395
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117229
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
198371
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117230
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
197817
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
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