Displaying 223611-223620 of 1611142 results.
ID:
223611
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
204423
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223612
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
310687
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223613
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
314165
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223614
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
226343
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223615
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
308493
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223616
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1116150
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223617
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
310594
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223618
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
905379
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223619
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
750839
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223620
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
206075
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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