Displaying 222641-222650 of 1611142 results.
ID:
222641
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
429212
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222642
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
309374
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222643
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1299917
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222644
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
995218
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222645
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1299896
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222646
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
866090
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222647
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
643066
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
222648
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1652084
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222649
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1006801
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222650
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
996921
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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