Displaying 226531-226540 of 1611142 results.
ID:
226531
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
835913
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226532
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1000405
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226533
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
977883
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226534
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197863
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226535
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197556
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226536
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197554
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226537
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197555
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226538
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
856369
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226539
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1009145
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226540
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
687043
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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