Displaying 222151-222160 of 1611142 results.
ID:
222151
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197558
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222152
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197557
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222153
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
903843
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222154
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049884
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222155
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2059189
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222156
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055286
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222157
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2265701
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222158
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283505
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222159
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283515
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222160
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283518
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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