Displaying 224721-224730 of 1611142 results.
ID:
224721
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
310878
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224722
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
311982
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224723
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
104884
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224724
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
861430
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224725
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197939
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224726
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197940
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224727
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
886662
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224728
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
886666
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224729
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
886671
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224730
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
686400
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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