Displaying 225421-225430 of 1611142 results.
ID:
225421
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
313361
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225422
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197558
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225423
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197557
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225424
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
903843
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225425
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2049884
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225426
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2059189
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225427
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2055286
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225428
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2265701
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225429
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2283505
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225430
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2283515
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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