Displaying 226691-226700 of 1611142 results.
ID:
226691
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
198086
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226692
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
199167
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226693
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
199164
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226694
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
763181
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226695
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
763179
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226696
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
763185
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226697
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
763183
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226698
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
861424
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226699
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1047040
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226700
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1047041
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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