Displaying 225631-225640 of 1611142 results.
ID:
225631
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
150840
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225632
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
208949
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225633
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
202301
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225634
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1804746
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225635
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1804750
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225636
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
352228
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225637
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1653579
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225638
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
991722
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225639
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
198148
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225640
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1797833
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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