Displaying 225401-225410 of 1611142 results.
ID:
225401
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1099269
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225402
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1006065
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225403
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1020155
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225404
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1720616
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225405
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1369737
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225406
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1722676
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225407
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1369770
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225408
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197698
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225409
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197840
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225410
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
856783
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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