Displaying 221511-221520 of 1611142 results.
ID:
221511
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
313407
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221512
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
313408
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221513
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1536490
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221514
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
310878
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221515
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
311982
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221516
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
104884
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221517
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
861430
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221518
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197939
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221519
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197940
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221520
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
886662
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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