Displaying 220091-220100 of 1611142 results.
ID:
220091
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1359025
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220092
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
753483
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220093
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
801185
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220094
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
898362
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220095
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
312529
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220096
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
977880
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220097
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047882
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220098
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
310190
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220099
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
310191
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220100
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
261178
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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