Displaying 223111-223120 of 1611142 results.
ID:
223111
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
755497
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223112
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
630208
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223113
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
245314
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223114
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
485968
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223115
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
991061
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223116
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
857683
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223117
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000913
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223118
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198202
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223119
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
857677
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223120
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1245443
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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