Displaying 222841-222850 of 1611142 results.
ID:
222841
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
351175
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222842
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
801417
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222843
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
204520
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222844
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1601982
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222845
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1795252
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222846
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
244098
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222847
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
245220
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222848
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1189640
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222849
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
800933
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222850
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2001321
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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