Displaying 223241-223250 of 1611142 results.
ID:
223241
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198153
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223242
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198152
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223243
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
312615
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223244
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197365
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223245
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197366
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223246
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197363
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223247
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197364
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223248
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197383
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223249
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197382
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223250
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
805515
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
285
Qty Limit Days:
28
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