Displaying 226721-226730 of 1611142 results.
ID:
226721
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
403811
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226722
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1806195
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226723
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1806179
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226724
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1806183
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226725
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
308191
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226726
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
899461
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226727
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
899485
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226728
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1101926
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226729
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
899495
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226730
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1101932
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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