Displaying 224581-224590 of 1611142 results.
ID:
224581
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
855818
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224582
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
855812
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224583
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665050
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224584
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665093
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224585
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665088
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224586
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665046
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224587
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
310467
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224588
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
860103
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224589
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
310377
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224590
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
731566
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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