Displaying 223491-223500 of 1611142 results.
ID:
223491
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
995281
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223492
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1095227
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223493
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1304988
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223494
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1661092
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223495
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
309079
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223496
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1438778
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223497
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1440937
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223498
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1440183
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223499
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1537209
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223500
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1487086
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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