Displaying 222431-222440 of 1611142 results.
ID:
222431
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197860
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222432
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197861
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222433
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197862
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222434
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
105585
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222435
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197931
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222436
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
312617
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222437
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198144
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222438
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198146
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222439
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
213272
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222440
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
207100
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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