Displaying 222571-222580 of 1611142 results.
ID:
222571
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
261101
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222572
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
847232
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222573
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
285018
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222574
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
855178
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222575
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
866094
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222576
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
866083
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222577
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
211817
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222578
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
978006
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222579
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
833217
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222580
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
831103
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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