Displaying 223941-223950 of 1611142 results.
ID:
223941
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
313447
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223942
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
861402
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223943
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
835593
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223944
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
835564
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223945
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
835568
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223946
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197739
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223947
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
861156
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223948
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
998189
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
223949
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
896758
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223950
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
896762
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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