Displaying 226231-226240 of 1611142 results.
ID:
226231
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1795470
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226232
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1794886
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226233
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1795346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226234
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
801357
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226235
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
801112
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226236
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
310473
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226237
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
242816
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226238
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1870633
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226239
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
310477
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226240
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1799706
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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