Displaying 225121-225130 of 1611142 results.
ID:
225121
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197884
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225122
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197885
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225123
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197886
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225124
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197887
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225125
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
314203
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225126
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
312749
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225127
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
199353
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225128
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
199351
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225129
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
199352
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225130
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198189
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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