Displaying 224631-224640 of 1611142 results.
ID:
224631
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
244967
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224632
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
309680
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224633
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
309679
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224634
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1376336
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224635
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
204874
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224636
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
313415
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224637
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1006120
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224638
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2260709
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224639
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197310
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224640
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
309045
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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