Displaying 220071-220080 of 1611142 results.
ID:
220071
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000114
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220072
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
199159
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220073
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000135
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220074
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000141
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220075
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197658
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220076
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197659
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220077
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197657
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220078
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
541878
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220079
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
541892
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220080
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
577961
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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