Displaying 222651-222660 of 1611142 results.
ID:
222651
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
721773
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222652
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
476179
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222653
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
476177
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222654
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
199703
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222655
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
835894
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222656
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
835925
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222657
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
241834
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222658
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1876397
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222659
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1235267
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222660
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
349094
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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