Displaying 225951-225960 of 1611142 results.
ID:
225951
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
834040
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225952
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197536
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225953
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
429212
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225954
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
309374
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225955
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1299917
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225956
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
995218
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225957
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1299896
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225958
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
866090
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225959
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
643066
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225960
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1652084
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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