Displaying 225621-225630 of 1611142 results.
ID:
225621
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1797880
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225622
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1113046
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225623
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
863836
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225624
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
863841
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225625
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
863829
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225626
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1373327
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225627
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
688242
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225628
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
205739
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225629
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
208513
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225630
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
404550
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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