Displaying 223301-223310 of 1611142 results.
ID:
223301
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
312071
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223302
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
859867
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223303
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198159
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223304
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1191256
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223305
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
311678
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223306
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1085728
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223307
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1191315
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223308
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
628953
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223309
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
381056
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223310
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
206842
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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