Displaying 227021-227030 of 1611142 results.
ID:
227021
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1650142
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227022
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1650444
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227023
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
406524
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227024
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
434018
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227025
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
799048
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227026
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
353538
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227027
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1723156
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227028
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
897666
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227029
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1099288
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227030
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1099300
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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