Displaying 222611-222620 of 1611142 results.
ID:
222611
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
855324
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222612
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
855338
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222613
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
855296
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222614
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
855332
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222615
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
855344
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222616
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
242461
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222617
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
242462
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222618
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
856467
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222619
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
311666
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222620
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
311668
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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