Displaying 222361-222370 of 1611142 results.
ID:
222361
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797880
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222362
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1113046
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222363
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
863836
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222364
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
863841
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222365
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
863829
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222366
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1373327
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222367
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
207370
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222368
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
688242
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222369
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
205739
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222370
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
208513
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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