Displaying 226611-226620 of 1611142 results.
ID:
226611
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
722116
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226612
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
198250
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226613
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197502
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226614
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
863559
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226615
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
897612
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226616
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
897618
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226617
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
897624
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226618
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
897630
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226619
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
312025
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226620
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
198041
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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