Displaying 224741-224750 of 1611142 results.
ID:
224741
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
312137
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224742
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1299911
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224743
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
855861
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224744
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197890
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224745
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
855873
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224746
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
308989
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224747
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
308988
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224748
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197443
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224749
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1099678
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224750
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1099870
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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