Displaying 225961-225970 of 1611142 results.
ID:
225961
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1006801
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225962
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
996921
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225963
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
721773
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225964
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
476179
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225965
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
476177
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225966
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
199703
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
225967
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
899511
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225968
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
899439
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225969
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1006608
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225970
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
835894
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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