Displaying 221001-221010 of 1611142 results.
ID:
221001
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
308973
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221002
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
858824
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221003
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
858828
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221004
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
308976
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221005
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
834348
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221006
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
310379
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221007
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
310380
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221008
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1313112
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221009
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
855671
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221010
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
311679
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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