Displaying 226931-226940 of 1611142 results.
ID:
226931
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
855926
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226932
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
855906
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226933
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
855664
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226934
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
995281
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226935
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1095227
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226936
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1661092
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226937
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
309079
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226938
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1438778
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226939
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1605086
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226940
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
904419
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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