Displaying 226191-226200 of 1611142 results.
ID:
226191
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
351175
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226192
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
204520
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226193
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1601982
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226194
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1795252
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226195
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
244098
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226196
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
245220
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226197
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
800928
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226198
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
800812
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226199
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1189640
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226200
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
800933
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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