Displaying 221021-221030 of 1611142 results.
ID:
221021
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1358775
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221022
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1011081
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221023
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
359385
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221024
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
834768
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221025
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
835956
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221026
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1359032
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221027
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1359027
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221028
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
903456
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221029
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
903697
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221030
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
903703
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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