Displaying 220991-221000 of 1611142 results.
ID:
220991
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1376338
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220992
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
310891
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220993
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
308979
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220994
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197686
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220995
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197303
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220996
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197304
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220997
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197853
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220998
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
858813
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220999
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
858817
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221000
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
858810
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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