Displaying 222811-222820 of 1611142 results.
ID:
222811
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197815
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222812
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1001004
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222813
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
351264
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222814
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
904605
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222815
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
904571
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222816
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
904583
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222817
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
904593
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222818
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
848951
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222819
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
835958
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222820
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
834346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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