Displaying 223191-223200 of 1611142 results.
ID:
223191
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
898362
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223192
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
312529
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223193
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
977880
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223194
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2047882
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223195
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
310190
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223196
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
310191
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223197
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
261178
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223198
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198300
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223199
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
106303
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223200
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
313450
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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