Displaying 224501-224510 of 1611142 results.
ID:
224501
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197971
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224502
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
861064
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224503
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197787
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224504
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197782
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224505
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197783
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224506
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
313142
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224507
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
312347
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224508
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1048450
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224509
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1048445
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224510
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
855194
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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