Displaying 223581-223590 of 1611142 results.
ID:
223581
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1649429
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223582
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1650142
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223583
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1650444
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223584
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
353538
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223585
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1723156
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223586
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
897666
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223587
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1099288
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223588
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1099300
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223589
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1099304
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223590
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1099316
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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