Displaying 223861-223870 of 1611142 results.
ID:
223861
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
798133
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223862
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
884520
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223863
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
755470
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223864
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
544452
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223865
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
597768
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223866
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
597770
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223867
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
597772
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223868
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
403975
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223869
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
259306
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223870
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1799654
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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