Displaying 224191-224200 of 1611142 results.
ID:
224191
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1112687
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224192
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
748879
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224193
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
359385
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224194
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
834768
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224195
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
835956
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224196
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
748859
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224197
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1359032
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224198
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1359027
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224199
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
751875
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224200
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
903456
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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