Displaying 227031-227040 of 1611142 results.
ID:
227031
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1099304
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227032
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1099316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227033
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1099292
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227034
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1099296
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227035
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197433
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227036
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
896766
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227037
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
309044
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227038
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
313888
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227039
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
309042
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227040
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
808118
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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