Displaying 221011-221020 of 1611142 results.
ID:
221011
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
105583
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221012
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
199378
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221013
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
402505
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221014
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
402506
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221015
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1313885
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221016
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
577237
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221017
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
310285
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221018
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198359
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221019
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
204119
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221020
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1359020
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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