Displaying 226321-226330 of 1611142 results.
ID:
226321
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
966270
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226322
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
790489
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226323
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
763519
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226324
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
763574
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226325
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
763589
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226326
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
618557
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226327
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
311984
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226328
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
311985
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226329
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
360344
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226330
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
349477
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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