Displaying 222311-222320 of 1611142 results.
ID:
222311
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1292459
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222312
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658106
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222313
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658102
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222314
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
798451
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222315
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
830263
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222316
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658150
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222317
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2055815
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222318
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
835721
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222319
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
207136
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222320
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1046920
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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