Displaying 224261-224270 of 1611142 results.
ID:
224261
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1716219
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224262
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1716223
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224263
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1649405
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224264
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
313096
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224265
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198224
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224266
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
283535
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224267
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198222
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224268
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198150
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224269
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
96304
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224270
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
998689
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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