Displaying 220191-220200 of 1611142 results.
ID:
220191
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
763179
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220192
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
763185
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220193
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
763183
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220194
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
861424
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220195
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1727569
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220196
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1993222
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220197
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
430551
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220198
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
403920
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220199
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
312068
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220200
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
314152
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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