Displaying 223991-224000 of 1611142 results.
ID:
223991
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1430383
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223992
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1440185
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223993
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2107008
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223994
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1550536
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223995
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2104192
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223996
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1994764
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223997
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1994758
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223998
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2106997
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223999
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1660690
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224000
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2397128
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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