Displaying 224001-224010 of 1611142 results.
ID:
224001
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
314106
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224002
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
311681
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224003
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
856377
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224004
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
308460
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224005
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
749783
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224006
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
248656
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224007
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
749780
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224008
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
204844
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224009
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198372
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224010
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198369
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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