Displaying 225921-225930 of 1611142 results.
ID:
225921
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
242461
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225922
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
242462
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225923
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
856467
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225924
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
311666
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225925
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
311668
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225926
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
314234
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225927
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
308177
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225928
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
598025
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225929
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
617309
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225930
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
617316
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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