Displaying 222731-222740 of 1611142 results.
ID:
222731
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
313797
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222732
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
239191
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222733
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665052
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222734
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665444
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222735
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665449
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222736
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
313920
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222737
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
106258
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222738
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
203105
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222739
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197409
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222740
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197408
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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